1972, 08-28 Permit App: J4221 ResidenceCounty of Spokane, Washington
' BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENER,AL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure Permit is required by County Resolution to erect a building or structure of ant
kind or alter any building cr 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 ()trice.
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
1 st 25' is:required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
E HIGHWAYS. Where thestructure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress I
a d egress.
,IfOUNTY 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 IH BELOW THIS LINE Apr 2.0g _
)
Name of Owner L('✓Cot/S'rrM
ttcr/Dhi Address /92/ �
PAC//SPat41a)Pphone M j 47� l
g
Architect Phope Engineer .,.p Phone
Contractor Lit J42 NSnxe-rf 04) Address fA-M—e A-01 A- flairl Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
LV JSit) /oFL07-4Fxc/rr Al / o,G Cv' - LZ7r1 a -ft ca /57-
.&-7 74 / Ri_o /4 / Hey req., J Aft oA. i A.(d/'r, / �.5' T/ - O� 3 Z
DESCRIPTION QE; WORK: New V Addition Remodel Moving Bldg. Zons / Fire Zone `�
Size of Lot 7 q X / .t% t t Sewage System Stories
Const. Dimensions 4 0 x lit^ -Md /z.xz4 ya-1 Total Sq. Ft. Valuation �DO�
(Frame, concrete, brick, etc.) �j-�f
Rooms Baths / Basement . 2— Foundation Const r a NG k'. Chimney Fireplace
(F ,part, onr[ e) (Kind) (Number)
Heat. e.......... EL, l3�a.(W/ m....., of Roofing Ext Finish % / 4 / Int. Wall Finish '/` YW 4-
No of Units Bedrooms . 7
00
Geroge or Carport Attached
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Private Detatched
PLOT PLAN
propean
linesrty andlines; streets; (5)reet or rcd loctions; dimensions of buildings; (3) (6)l location ocation oofeg
sewagesys-
SOUTH
5tateLi5en No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing PermiS.-�
rn Heating Permit
Sewage Permit
+n
H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby cert;fy information sub itt is correct and there are no other structures located on this property except
as shown. '/(wtc ✓n/J/ %(24.-._c Vi %Z
Owner or Agent Date
A LAND`USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THtSIS NOT A PERMIT.
OA , m M) DO NOT WRITE BELOW THIS LINE ///
Year:street address will be A/.T -r te/ w � C ) �e zone 15 v' r�,'"w-
Sewage Permit Number
Issued 9 2 -1 �- Building Permit /. Receipt S '7 34 Tissued
Remarks
Form 523 Bldg. Code
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