1971, 04-14 Permit App: I3987 Residence0 i
County of Spokane. Washington
APPLICATION FOR LAND USE OR STRUCTURE PERMIT o0
GENERAL REQUIREMENTS PERMIT FEE ________�`S._—.
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 47-255.
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
hnd 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
n _ -
Name of Owner /—/ IFZFP A,' 1L--4' T Z # L�ddress 4F, �
Architect �I� ^tS • i✓ Phone/%E � %,& ngineer
Contractor .5'i9 -iv -e_ Address
Legal Description of Property (Give complete description from deed,
tax receipt, etc.) _
6 kr.✓.r /E°.f i9,CLe y✓/ P�✓ �S� �d d T/o n�
Phone
Phone
Phone
—_ ,/y'oaS" ,coo.✓ ore J ,c %VSs3-/6y
DESCRIPTION OF WORK: New ✓ Addition Remodel oving
Bldg. ZnFire —Size of Lot L1�s X /,3Y,dD Sewage System i�� i�'^�Stories
D �I O� 8 (SEPTIC TANK,ETC.)
Construction `/C y ye- Dimensions �oP4011442p'Oil , Sq.Ft. Z� Valuation
(FR AME ,CO}N� RET,,,,E// BR I CK, E,T,s )
Rooms /!J'a E ement fN L �C Foundation Const, to ✓��PP1l Chimne ��4ireplace Htg. Sys.�/RFuel a19S
(FULL,PART,NONE) + (KIND (W.,AIR,STEAM,ETC.)
Garage Attached Type of Roofin �G'�Ext. Finish Int. Wall Finish
np, ( C 0 M P 0 S I T 10 N, S H I N G L E, E T C. I ( S H.,.ETAL,SHAKE) I P L A S T E R, 0 R T W A L L, E T C.1
Use of Bldg. z { S /G t4,'t e- No. of Families Miscellaneous
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.
NORTH
State License No.
L -1,6-o/- 7a2, -S-
Ind. Ins. Acct. No.
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REQUIRED
m Plumbing Permi
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CA
-1 Heating Permit
411"IFIS oA✓
Sewage Permit L= N,4 V-Ae/r
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I hereby cer y inf on mitted is correct and there are no other structures located on this property except
as shown. /-,7
o Agent Date
RETURN TO: BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
Your street address will be
Sewage Permit Number
Remarks
Form 523 Bldg. Code
DO NOT WRITE BELOW THIS LINE
lding Permit
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