1972, 03-17 Permit App: J2214 Residence• 1
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 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 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 an 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 moire 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 114 BELOW THIS LINE WA
I
Name of Owner % .uv •) i .i. ddress 101 a a E', i a �i Phone wn - `1 �in`s
Architect .,• it .. ,Phone Engineer ._A- Phone
Contractor ,II Address gaoq E. �AP,II PhoneWA4'-5tRO
Legal Description of Proppeertr (Give complete description from deed, tax receipt, etc.)4r 7, ¶5 fl4U'l i�Qprtii:
/O / 9, C�SYnt , In n f S feJr. �. ,lea S (Dl I !i Q d /a
DESCRIPTION OF WORK: New Addition
Size of Lot /JO/ .l' 13.J/ /
Const../1Q,rriAi Dimensions -4/6ir X Q e
(Frame, concrete, brick, etc.) ((llp
Rooms (o Baths a Basement 't U D. Foundation
nn 4' (Full, part, none) f�
Heat. System n {kin) o TypeofRoofing C
Use of Bldg. .i..../11.111) . #-cvr.uAll c A PALA t
Garage or Carport Attached Ib1 \ rvX,)!
Remodel
Moving Bid;
Sewage System . ' • i S [Vie s
Total Sq. Ft. /'
Zone Fire Zone
Valuation ao coO
Const C -t) 11.Cn oY s? i Chimney Fireplace 0
//'',, o�J (Kind) c.\ (Number)
Ext. Finish W ork X a r Int. Wall Finish UAL
11Q G).ctit.,c.�.^ p - U No. of Units Bedrooms
jJ Pavane Detutched e
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.
m
m
H
NORTH flora
SOUTH
I hereby certify information submitted is correct and
as shown.
_ o„i1Rit /A)a,P,Pi;r,�
Owner or Agent �
en
Ta
N
State License No.
ams- o I - 4790
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Fermi
Sewage Permi
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are, no other structures located on this property except
g Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
61,44U A „ DO NOT WRITE BELOW THIS LINE
o 2 lit
Your street address will be
Sewage Permit Number
Remarks n n
Issued
Building Permi
e zone 1s
Receipt 9 9 Issued
Form 523 Bldg. Code