1972, 03-28 Permit App: J2372 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 41 o
0
GENERAL REQUIREMENTS PERMIT FEE ''7<D�
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 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 THIS LINE
Name of Owner - - n an
ddress P.O. BOX 1)1181 Spokane Thane wA6 7951
99214 Phone
Contractor S.S."SYD" PAUL Address P.O. BOX 1)f181... 9921)1 PhonewA6 7951
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Architect Phone Engineer
ar-ce1 No, .2S,Sv9-
0/0 /
DESCRIPTION OF WORK: New X Addition Remodel
Size of tot 75t7150t
Const. ' f r ane Dimensions X26 t
(Frame, [concrete, brick, etc.)__
Rooms_Baths _2—Basement fn11 Foundation Const. C'nr1CTP. to
I (Full, part, none) (Kind) (Number)
Heat System F. A - GAS Type of Roofing rOMPOSTTTeat. Finish T4-11 Int. Wall Finish Drywall
Moving Bldg. Zone f Fire Zone 3
Sewage System 4epti4t tank Stories 1 _•
Total Sq Ft. 1479 Valuation 25,3n0
Chimney metal Fireplace fXb}i' X2
Use of Bldg PP Si d e n frP
Garage or Carport Attached 20x22
No. of Units Bedrooms 1 -1 -
Private Detatched
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
see attached drawing
SOUTH
State License No. -
223_01_11681
Ind. Ins. Acct. No.
266-823
REQUIRED
Plumbing Permit
m , Heating Permit
• Sewage Permit
H
Plans Received
Plans Checked �l
azic_ 11'03+
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify ''formation s .witted is correct and there are no other structures located on this property except
as shown.
ner o Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT% PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address w111 be
Sewage Permit Number.
Remarks
021404. Qs /°/N& 1204A
Issued Building Perm f‘
f -4-d-&4'71 ni2.?2)
The zone 14f__Z24_ .te r ft7-
Receipt Issued
v
tch7r
Form 523 Bldg. Code
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