1971, 05-26 Permit App: I4481 Residenceq--vED A�C®unty of, Spokane; Washington
nt/ rt..j„ r. ,
Da; cji7f UILDING'CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
Spokane Cot
[by `77° ` APP AT.I.ON FOR LAND USE OR STRUCTURE PERMIT
"'G•E•N•E:R: 'L& : . .U_ILR E M1 E N T S PERMIT FEE
PERMIT REQUIRED. A landus-7;7-8T ten tore permit is required by County Resolution to erect a building or structure of say
kind or alter any building or structure already erected, or to change a land use. Construction mast 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 THISsLINE
Name of Owne
Architect
� ^ �_ Phoney- 4--�'-�ei
C.� Phone l —^ Engineer e%2-crt—e-a—, Phone
Contractor — Address/ :wee.; Phond rlt-6---ti97 <—
Legal Description o.i ope ty (G': a comp ete descri.tion from d•.•. tax recei.t, etc.) ��
29' .ice 4 t... / a -g e 2-
...r. wi to,.
DESCAIP,TIO1�yypF WOR :New �� AdditionitRemodel `- Moving '--- yBBldg: Zone Fire Zone AlMilir~
Size of L y �) • 7:7 -*42J Sewage Systefi� elset /
[ yy r.
Cons[._Dimensions Total Sq Ft,.Vail i6ij //-1.�'r"'�
(Frame, concrete, brick, etc.) D}f / 6 74 / .y- 1. ---"-Rooms G' Baths BasementZ-/-/Foundation Const. C - e— Chimneytne-11 Fireplace •
(Full,par no e) ice`' � (Kind) (Numbeer.3
hype of Roofing ( r/ 0 Ext. Finish � <; Int. Wall Finish./7^�// .'_I. lirerse e'
No of Units / Bedrooms 3
' ate Detutched
Heat. Syste
Use of Bldg.
r�.
Garage or Carport Attached
PLOT PLAN
_ Draw sketch with dimensions showing: (1) property lines; (2) street lbr road local:Yons; (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. a
r
I hereby ce
as shown.
State License No. /
23- G/- �S� /
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit /-•r Ee—
Heating Permit 4 /�'•��t�
Sewage' Permit
Plans Received -
Plans Checked -
Plans Returned
Plans Picked Up
Plans Mailed
information submitted is correct and there are no other structures located on
.DZ'i ��ft_—�(.)
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTIC
'THIS 1S NOT A PERMIT.
DO NOT WRITE- BELOW THIS LINE
is p operty except
O COMMENCES.
Your street address will be P /.d ? 1'V circ rz
Sewage Permit Number. Issued Building Permit
Remarks
e zone is
Receipt S/
/LA 1/2;47. •
Issued ✓ v
Form 523 Bldg. Coda
vi