1972, 03-28 Permit App: J2375 Residencec.
41
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
:4
APPLICATION FOR LAND USE OR STRUCTURE PERMIT S el:-
GENERAL
=
GENERAL REQUIREMENTS�f-f.L
PERMIT FEE '-
PERMIT REQUIRED. A land use or structure permit is required byCounty 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 onwater 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 car. not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner
Col7R4 e ]"oaS -
Address I V.26 he%bnry t . Cibei-711 eonefry - -4vo
Architect4ivrsiov A SS C PhoneQj'W-lfrlHX Engineer Phone
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
B/naK g /1;/I Vita.w Es faits I.73Y? —Loa /
DESCRIPTION OF WORK: New Ve
Addition Remodel Moving Bldg. Zon 7 Fire Zone J
Size of Lot )C 1 7 A Sewage System � Stories /
Const. Frani p Dimensions H H 1( a7 Total Sq. Ft. (amu Valuation 2. , 510
(Frame, concrete, brick, etc.)
Rooms_CL Baths 2_ Basement Fu 1) Foundation Const.
(Full, part, none)
Heat. System -a4 P t7YAType of Roofing. Agph 2it-t
UseofBldg. Res/dent. -Q
Ext Finish r I -it
Garage or Carport Attached O—Ai" 2, O N
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
5K,, vie+✓
az'
GAJ" 9
fetie` 1"T
3v .y
93sc' •
.1"
2 '7
a1-7-a`,br d
r ney Fireplace /
(Kind) (Number)
Int. Wall Finish l»y f..a 11
No. of Units Bed/rooms 3
Privnte Detatched
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
NO THH /
T
< 28'
-
'0
r
pin 911.30
�.�icy.
SOUTH
q3•t
State License No.
Z
2.3 -O I -/a07
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
wn Heating Permit
D Sewage Permit
N
H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located
as shown. -
Owner or Agent
on this property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 12 NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be c2/ q DL' (c 2 di ‘79. -
Sewage
Sewage Permit Number Issued Building Permit . - Re
Remarks
..,a.,/
'%%
J
zone is
1 pt
Issued
Form 523 Bldg. Code