1972, 10-26 Permit App: J4899 Residence4;
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT a
GENERAL REQUIREMENTS PERMIT FEE _._.% ..y
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
Architect
Contractor ..5.q4n.-t
Phone
ddress 9a09 IrenY ,4v -e Phone 9a 8'-ci60d
ngineer Phone
Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) n�n,--�u „ /%v /8-/�0.
QzsHI/- 31/-
DESCRIPTION OF WORK: New V Addition Remodel Moving Bldg. Zone 1 Fire Zone
Size of Lot at, a 1'72 Sewage System 5 T. Stories /
Const. fr.z. a Dimensions .1 a i- 2 5> Total Sq Ft // 7L Valuation / % 70-0
(Frame, concrete, brick, etc.)
Rooms £ Baths / BasementF I/ Foundation Const (an rre re Chimney Fireplace 0
(Full, part, none) —
/ (Kind) (Number)
Heat. System t oa d f' �� Type of Roofing Ca 7 b oc%�, eh Ext Finish 1-alafi (/ nj Int. Wall Finish Ze j s.o /4/
Use of Bldg. �pao e — /%1a o- //_ No. of Units Bedrooms '3
Gavage or Carport Attached 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
SOUTH
State License No.
G1<
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
e. Heating Permit
a, Sewage Permit
H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby c i information submi ed is correct and there are no other structures located on this property except
as shown.
!i1/Lt7 /G- a-6-77
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT UST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
ant/ tiu144a
DO NOT WRITE BELOW THIS LINE
Your street address will be 1, 36 4
u' Sewage Permit Number Issued Building Permit
Remarks
e zone is
Q
il
Receipt 91(ued
Form 523 Bldg. Code
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„Cec-La// CL'%%s�'ne 4,,e7 6•
• JOSEPH L. DICKINSON
PROFESSIONAL LAND SURVEYOR
E. 12121 MANSFIELD-
SPOKANE, WASHINGTON 99206
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