1972, 07-25 Permit App: J4079 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
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 //r 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.
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 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 Owne
49
Architect
ContractoreGsi a --
Phone
ddress /oL/z Z E /3
gineer
Address q
20
er
Legal Description of roperty (Give complete description from deed, tax receipt, etc.)
G.o /
phone/elf, 1/-4'/65
Phone
Phone 1(44-11-4//65
DESCRIPTION OF WORK: New v Addition Remodel Moving Bldg. Zone f Fire Zone i
Size ofLotq 22,E X /0 3 ' Sewage System r c Stories 1
`
Const T' fink Y Dimensions L% G X 24? ' Total Sq Ft / Z 9',4 Valuation 2, CO 0
(Frame, concrete, brick, etc.) ,G
Rooms Baths Basement Ea/ Foundation Const 6?1! - Chimney Fireplace Z--
(Full, part, none) (Kind) (Number))
Heat System /JType,of Roofing 'Z9i47Y Eet Finish lar Int. Wall Finish.. —...r.4(
Use of Bldg. IRp�.�«"i�,1� vi lNo of Units ) Bedrooms 7
Garage or Carport Attached C - )'7 -O Y..i — Private Detatehed _n_ei--n _f
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.
E5 NORTH
H
J
13
2-8
(C3'
50UTH
s
N
State License No.
2 2 3 0/ q 7 'o
Ind. Ins. Acct. No.
REQUIRE
Plumbing Fermi
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 sh�oo'
✓ n -o . 7. t4,/ez .L2 '7 `2-S— 72 -
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT .4 PERMIT.
DO NOT WRITE BELOW THIS LI,E
Your street address will be
Sewage Permit Number: Issued Building Per
Remarks
A / A
Pr
e zone , S wg'/L?, f0j;
Receipt /sued t!•
—
Form 523 Bldg. Code