1972, 07-25 Permit App: J3843 ResidenceCounty . 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 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.
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 Owner .447ti1-61 /1Oet-- ,1 _Address /O i' 2Z E , 13 Phone
Architect Phone / Engineer Phone
Contractor toeeec.L ,r Address '2.0? *M nit+-.-" Phone
Legal Description of Prdper (Give complete description from deed, tjkx receipt, etc.)
_ e -= R- = 3 izia, ' . r v/ -
3 r -t/ / /V63
DESCRIPTION OF WORK: New Addition
Size of Lot 92 at 107
Const. F✓vtnen.._ Dimensions lit DC Z
Remodel
Moving
(Frame, concrete, brick, etc.) �/
Rooms_i___ Baths Basement ride Foundation Const
(Full, part, none) r��
Heat. System '. Type of Roofing Crnn•
Use of Bldg. itf,L 1
Garage or Carport Attached
Bldg. Zone Fire Zon
Sewage System •-C Stories
Total Sq Ft 1160 Valuation /'7) 750
G Chimney Fireplace
(Kind) (Nuumberr,)
Ext Finish Int Wall/ Finish .. a�.G-. w-r�Fc
�� !! No of Units 1 Bedrooms -i
Private Detatohed
PLOT
PLAN
2 street or road 1
Draw sketch with dimensions showing: (1) property lines; (2) cations; (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.
NORTH
Eta
SOUTH •
I hereby certify information submi
as show
2
ted is
correct and
State License No.
22.3 0 / 9790
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
7- Z -7z.
Owner or gent Date
A LAND USE OR STRUC U E PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
d
DO NOT WRITE BELOW THIS LINE
Your, street address will .e
Sewage Permit Number Issued Building Permit
Remarks
e zone is
Receipt 8 -
Foran 523 Bldg. Code