1971, 09-01 Permit App: J0538 Pool0
County of Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT (� 013�
GENERAL REQUIREMENTS PERMIT 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 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 oowater 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 -RACK 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 -/-2,4, /\'.t kl ria t° r Address Phone
Architect '�1 Phone_ Engineer Phone
Contractor /&C& //:4) 0 C1, 4 -Lt . t -c Address R 4- 7 Sipa At, is e 9 52-04, Phone 9.26 OSGS
Leg Description of Property (Give_complete descr iDt ion from end, tax receipt. etc.) oZ -6—S ' 3 — 0 a- Ci
Leg Description n- ,et_
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zo Fire Zone 3
Size of Lot Sewage System �M J Stories
Const Dimensions 2- L SL �J t., 0 Q Total Sq Ft. 6 J Pi Valuation '/ .-C/70-0
(Fr me, concrete, brick, etc.) /J //
Basement Foundation Const —CTl a A -(... i) 4 Chimney Fireplace
(Full, part, none) (Kind) (Number)
Type of Roofing Ext Finish Int. Wall Finish
No. of Units Bedrooms
Private Detatehed
Rooms
Heat Syste
Use of Bld
Garage or Carport Attached
Baths
PLOT PLAN
w sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
posed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
t tem,and water supply lines.
NORTH
I here ertify in
shown.C7
SOUTH
ubmitted is correct and there are no other structures.located on this property except
m
H
State License No.
Ind. Ins. Acct. No.
REQUIRED
c-Plumbirtgarmit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
j)whec ar Agent Date
A LAND 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
J n I "— IV—f-4- 4V--w�� s e zone is XE:7
Building Permit 1 Receipt C
1
Sewage Permit Number Issued
Remarks
Issued
Form 523 Bldg. Code