1972, 06-01 Permit App: J3227 ResidenceAPPROVED AS NOTED
Spokane County Bldg. Code Dept.
Date , — Z
by >2i Y _,MOD
CALL 4.56-36750
ounty of Spokane, Washington
ES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE :57 "
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kind or alter any building or structure already erected, or to change a land use. Construction must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where work onwater connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING' OF BUILDINGS. A permit is required to move au existing building. When a building is moved on a County.or(State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to epforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE pc44,64itnia C czic,
Name of Owner LLQ."/'Y- i'/./.y.T4. Address (41../-1!1',/e) � a��?-rA Phone WA -4-.6703
ArchitectPhone Engineer Phone
Contractor 5sL Address Phe
Legal Description of Property (Give compl'te descrit 'on from deed, .tax receipt, etc.) r[.,2,�J
DESCRIPTION OF WORK: New Addition Remodel
Ii4k.
Size of t / 2 ^ X /3S
Moving Bldg. ne Fire Zone
,��(o Sewage System Stories a—�,
Const,. ...m.44.4" Dimensions 36, k •6-`2.- Cr — --- . Total
�� ottyall—Sq Ft 2A ry G Valuation .34, O / G
(Frame, concrete, brick, etc.) r� (.nt_�/(.0 LC., Y
Rooms 6 Baths -2 Basement Foundation Const Chimney " Fireplace
((Full, part, none) - yn
R4. Tye of jtoofing .XJ J4.42,4-11._. Ext Finish.(2/aliif Mididc4C4?Int. Wall Finish
Heat Syste
(Kind)
Use of Bldg. iI(.(nhf%.LL•
Garage or Carport Attached
-DLtttit- Z«Z
(Nu ber
No. of Units Bedrooms 3
Private Detatched
.:J
PLOT 'PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
tw Heating Permit
NSewage Permit
Plans Received 1- ---
Plans
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
—/_72•
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
V, 1,14,. 4 DO NOT WRITE�BELOW THIS LINE B /�
Your street address will be 4-C3/7 Sd, 7l1'Q,(J-Z The zone bait;
Sewage Permit Number Issued Building Permit Receipt qe V. Issued
C2/tite n.,i�: ,. ,�T ,-v y O/L •P/'>tiei,/922-
Remarks
Form 523 Bldg. Code