1971, 11-22 Permit App: J1398 ResidenceOwner or Agen Per Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. i
:1
I
/County of Spokane. Washington
tlLIILDING:CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTOn9W
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 3
GENERAL REQUIREMENTS PERMIT FEE 33.00
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 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 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 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
a.141 G 4 , d
Name of owner R.H. Hoover, Inc. Address N. 122 University ' Phone WA 4 9520
Architect Phone Engineer Phone
Contractor Address Phone
Legal Descr
SAME
ption of Property (Give complete description from deed, tax receipt, etc.)
Lot 6, Block 1, Fields Addition, Spokane County.
Parcel # 16542-0406
DESCRIPTION OF WORK: New XX Addition
Size of Lot 70 r 101
Const. Frame Dimensions 28 x 36
(Frame, concrete, brick, etc.)
Rooms 5 Baths 2 Basement full Foundation Const concrete
Remodel -.Moving Bldg. Zone 1 Fire Zone3
Sewage System S.T. Stories S=E 11
Total sq Ft 1586 valuation $21,500
(Full, part, none)
Heat System GFWA Type of Roofing comp. Ext Finish. wood
Use of Bldg. residential No. of Units 1 Bedrooms 4
Chimney 0 Fireplace 0
(Kind) (Number)
Int. Wall Finish drywall.
Garage or Carport Attached
Job # c 157
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
f
N
ti
NORTH
Priv
Detatched none
I
PLOT PLAN• `a• \
property lines; (2) street or road locations;. -(3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location bf sewage sys-
/ SOUTH
I hereby c• ify _information subitte. 'correct and there are no other structures located on this property except
as shown.
Ind. Ins. Acct. N
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Emerson
ik ngx United
Long
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
DO NOT WRITE BELOW THIS LINE
Your street address will be 2 7 , 0 e
Sewage Permit Number Issued
Remarks
AI _ iSttS
Building Permit
re zone i✓-L4'S_ 1
1 J3q Receipt l9/% Issued
1
e �s
Form 523 Bldg. Code
4--7
4-1,C
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