1971, 04-01 Permit App: I3879 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION -FOR LAND USE OR STRUCTURE -PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERJ9IT REQUIR®. 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 mast 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 eater 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 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.
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 enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner 4 > i Address 1L 2y �A� Phone /t/—l-S-ThO-
Architect �<ni_a-rr,L.r Phone Engineer Phone
IContractor e �,,'�,,`f�� Address Phone
1 Legal es ipt on of f prgperty (GiveconT t�despripeon from d d, ax receipt, e .)a
) f���y/v3 ///v-uirr
'7sY3-07 a7
DESCRIPTION OF WORK: New L -/Addition Remodel Moving Bld
Size of Lot 8sit' (.-2S-�Sewage System
ot
Const. r R A v✓t Q. Dimensions a 7 ( -s7-( 6 t ,-2 y $. 7,- Total Sq Ft
(Frame, 9ncrete, brick, etc.)
Rooms rO Baths Basement to /I Foundation Const CO ) c R. .2-- 7 -fl
(Full, part, none)
Heat. System 64 S// Type of Roofing
Use of Bldg. Re 5 1;949
Garage or Carport Attached t Fa' -R --Q
7 -vs—
one / Fire Zone /
Stores
Vaivation'�((09, OB 0
Fireplace
Ext Finish 7- /-//
C7-71Z—C//e,p2
Chimney
PLOT PLAN
(Kind) (Number)
Int. Wall Finish /0/17,-" 1�
No. of Units g Bedrooms 3
Private Det etched
Draw sketch with dimensions showing: (1) property lines; (2) street -dr rdaYlocat
proyosed,buildings; (4) distance to property lines acd streets; (5) • imens ions of b
tem and water supply Lines.
•
NORTH
m
N
50U-TH
I hereby tify i o coati su 'tted•i
as shown.
Owner or Agent
orrec
I
; (3) location of existing and
s; (6) location of sewage sys-
State License No.
Ino. Ins. Acct. No.
REQ
Plumbing Fermi
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE Q
-=— ate"
Your street address will be ---
Sewage Permit Number Issued
Remarks
Building Permit _,
.e zone i
Receipt2
C•M ENCES.
7 .
Issued
Form 523 Bldg. Code
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