1972, 07-10 Permit App: J3707 ResidenceCounty of Spokane, Washington,
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS. PERMIT FEE
PERMIT REQUIREb. 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 on water 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.
MOt�ING OF BUILDINGS. A permit is required to move an 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.
ACC1SSSORY 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 1 nd
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedication.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner 5..S S YO " I-i+u L CON7i2 Address P O. i3 ox IV/Pi 9 92/p Phone 1C),9 6 — 7 9S7
Architect Phone Engineer Phone
Contractor S A 071 Address
Legal Description of Property (Give complete description from deed,
C o— a. — .atk- 3 '9/ttC12Fsr 4c,a c s
J'aecn''27sy3-2 c'
DESCRIPTION OF WORK: New Addition
Size of Lot 9-S X 1.2.0'..2 O
Const /-52-ern(-7 Dimensiork-.2 y V y% )
(Frame, concrete, brick, etc.)
Rooms 7 Baths 2 Basement ,4&I Foundation Const
(Full, part, none)
Heat. System FA P 4-c Type of Roofing
Remodel
tax receipt, etc.)
Phone
7 -y - c 6
Moving Bld Z�on,�,��U Fire Zone
Sewage System `� Stories epu T EN7✓e7
Total Sq Ft Qi 0 9 0 Valuation
r.' - a2x'C
Use of Bldg. ,22FCine,Mc - .
io 0 AACrat= Te
C Cvin O Ext Finish
77-
Chimney /%Ti4C Fireplace _L
(Kind) (Number)
Int Wall Finish G(/gee /zo./Kd
Garngd na t Attached .2 a X 2 C. Pn
PLOT PLAN
/
Ised raw sketch with dimensions showing: (I) property lines; (2) street or road locations; (3) location of existing and
... buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys
and water supply lines.
No of Units Bedrooms
e Detotched
NORTH
SOUTH
I hereby certify information sublpitted is correct and there are
as shown. /y�
�� Cz LCN •
ner or Agent
,A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS HOT A PERMIT.
s
N
State License No.
22 0/ /16W
Ind. Ins. Acct. No.
REQUIR D
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed d'
no other structures located on this property except
DO NOT WRITE BELOW THIS LINE
Dat
CONSTRUCTION COMMENCES.
\our street address will be S wZ%// //0c toyt/9Lh The zone
Sewage Permit Number Issued Building Permit'\ Receipt
Form 523 Bldg. Code
A I MI I= .1 1 MI 116
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