1972, 07-25 Permit App: J3846 Residence411.
County -of-Spokane, Washington _
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 9920
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 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 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 thestructure 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.
Highway, clearance must be obtained from the County Engineer and/or State
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a
When a building is moved on a County or.State
Highway Department.
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 q z a'7
Name of Own/er Address Z1i
Architect � _ Phone Engi¢eer
Contractor taz, 2?' 7 Cir
Legal Description of Property (Give complete
Address 'T 2 B `"(' 5 �ciner
description from deed, t rece pt, etc.)
Ler = / glee -A-22 /fla <
DESCRIPTION OF WORK: New Addition
Size of Lot q 7 X 10 7
Const .YiIYn e Dimensions He 3i 7. 97
Remodel
Phone////T LI- vas'
Phone r
Phone��/ -1//‘ 7
f3_CV/./VC)
7 2S -5—V/ —
Moving Bldg. Zone , Fire Zone
Sewage System ,r Stories
SIT?/
Total Sq Ft 12..Valuatio
t s -t_ ./,-,
C intnfey
Ext Finish Aar
(Frame, concrete, brick, etc.) �%
Rooms_ Baths 2 Basement IJ/AR_ Foundation Const
a/ (Full, part, none)
Heat. System flet Type of Roofing eenl y
(Kind) (Number)
Int. Wall Finish
Use of Bldg. /L[it No of Units _/ Bedrooms 3
i
Garage or Carport Attached2 Z X 2 I-% ' Private Detached
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.
-I
NORTH (-i
11
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State License No.
223 e l 17Qo'
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
n, Heating Permit
NSewage Permit
-I
(• Plans Received
J
Plans Checked
J Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
n7f ti�
Owner or AkAnt
A LAND USE OR STRUCT
THIS IS NOT APE 1T.
(L
749.42- Cdt2
Your street address will be
Sewage Permit Number Issued
Remarks
7—zs-72-
Date
PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
ne is
Building Permit Receipt 2.-Y'
ssued 7-z S
p
Form 523 Bldg. Code