1971, 10-18 Permit App: J1029 Residence6
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 1� a-0
GENERAL REQUIREMENTSPERMIT FEE _.._.._.___._
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 most conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. NRter 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.
SETBACK 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 ddreas I O 4/ 7 7 % Phone
Architect_ L -a,,,. Phone Engineer_ Phone
Contractor a/Address CI -2-0 `l t Phone
Legal Description of Property (Give complete description fr dee tax receipt, etc.)
DESCRIPTION OF WORK: New L/ Addition Remodel Moving Bldg. one Fire Zone_
Size of Lot 7 7 Z( 1 7 7 Sewage System Stories
Const. F✓'zQ Dimensions l x Z g' Total Sq. Ft. I Xo R, valuation / 9 %SO
(Frame, concrete, brick, etc.) ''�� ,o
Roomst�--
_ Baths Basement � Foundation Const. Chimney Fireplace -2-
(Full,
(Full, part, none) (Kind) (Number)
Heat. System Type of Roofing Ext. Finish T— Int. Wall Finish
Use of Bldg.
No. of Units _� Bedrooms
Garage or Carport Attached
Private Detatched
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.
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m
N
-4
NORTH
PIP .
Cz$�
Z5`
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7-7
1
3�
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SOUTH
State License No.
ZZ3 df R'7 70
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
M Heating Permit
,D Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereb certify information submitted is correct and there are no other structures located on this property except
as shown. 7 /%// .
/ Owner or Agent J Date
A LA14D USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be a zone is
Sewage Permit Number Issued Building Permit Receipt Issued
Remarks
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