1972, 07-25 Permit App: J3844 Residence- County- of - Spokane, _Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT, 00
GENERAL REQUIREMENTS PERMIT FEE a
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 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.
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 yardtfrom 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 -_
Architect tr�+rr Phone
Contractor &ae�, ... .
Legal Description of Property (Give complete description from deed, tax receipt,
/BT=3 -1=I 1,v�(. Pa
alma
ddress 1OY Z Z , 13
Phone /uA'/- 4'/d
gineer Phone
Phone L2),“/ -L//65
Address ei Z o q E
etc.)
c'//-./5/l,z
AO- 3, -CV/ - /4/6_,3
DESCRIPTION OF WORK: New —" Addition Remodel Moving Bldg. Zone Fire Zone
p
Size of Lot 17 PC 1 O 3 Sewage System —Let -4 Z Stories 11
Const.. •-•••4201,1-c-- Dimensions Y A X Z 14 ' Total Sq. Ft. q(O' Valuation /9) 7 rib
(Frame, ✓concrete, brick, etc.) 6
Rooms 7 Baths 2 Basement Flat Foundation Const +-e • Chimney Fireplace
Cl
(Full, part, none) _ (Kind) (Number)
Heat. System C le-^ . Type` e /
y of Roofing �o�++ L Ext Finish Int. Wall Finish e2-1,Fril-e.. .
Use of Bldg. t
No of Units 1 Bedrooms 3
Garage or Carport Attached Prrvpt e De It rl ed
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locatiods; "(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.
N
-1
v
NORTH
1'
fl
1 Y'
Ic'3
i
7
E,5
SOUTH
State License No.
223o; 4' 7`to
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned -
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
y m -14J,7 -Z5- 7z -
Owner or Agent Date
A LAND USE OR STRUCjRE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
6✓1A- -P-0 r_ ' dao NOT WRITE BELOW THIS LINE
Your street address 11 be
Sewage Permit Number
Remarks J
74e
Issued +'
Building Permit
e zone is j-%�//.' o_v />4ir
Receipt �c/%rS'Issued
Foran 523 Bldg. Code