1971, 10-07 Permit App: J0939 AdditionAPPROVED AS NOTE t
Spokane County Bldg. Code Dept.
Date /0 - 7-7 ( Coes - ty of Spokane. Washington
PARTMENT, COURTHOUS2, S'OKANE, WASHINGTON 99201 .2 i
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 n land use. Construction most 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 onvater connections disturbs
the surface, shoulders or ditches of County Roads, permission meet be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Ncs. 45-133 and47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circurstances, a set -hack 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 he 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 BUI[DINGS. 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 al , o _____ (_
Name of Owner _Ch, _tt0�1 1Qa 4 Address
c96,02
Phone WA -y% Nig
Architect Phone Engineer Phone
Contractor i Address PhoneO 4'5
Legal Description of Pyop ty (Give complete dlscription from deed, tar receipt, etc.), +p # °ere -l°41
-- SLY 4 2.S A/ 237,6 , W' JJO L07 9 LZ ALS
u
DESCRIPTION OF WORK: New Addition /i Remodel Moving Bldg. one Fire Zone S
Sewage System 2(5 Stories _/�-
Const e, concrete,
! Dimensions /%{ k: /S Total Sq Ft. .:'�/d Valuation 4,001)
(Frame, concrete, brick, etc.) /] - ' ,, r
Rooms_. Baths -- Basement — Foundation Const l A'7' -_f e.l2.-' Chimney Fireplace �-
(Full, part, none)-44(91-;(4.1-
�- I , (Kind) (Num r)
Heat. System i _ . . 4 Type of .ofing O. .(t 2- Ext Finish �� i� / is Int. Wall Finish
Use of Bldg. 0 .AR 1 , 1 �. a .. i ia2,ali. , , ..-�/ • ' /
i No. of Units Bedrooms
Garage or Carport Attached /
Size oft /cro x /so r—
Private Det at shed
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or read 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.
Mr
ZDI
b -'0
NORTH
V
I hereby
as shown.
P6 K7.L A
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked Jr --
Plans
Plans Returned L --
Plans Picked Up
Plans Mailed
rtinformation submitted is correct and there are no other strictures located on this property except
iLt
.nff
KM/ 0 &,O
Owner or Agent
-7-7/
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will
Sewage Permit Number
Remarks
Building Per
The zone 1s AA ita,ifd'�
Receipt 7/Issued /O-7"7/
-� Form 523 Melo_ end.