1971, 10-29 Permit App: J1176 Residence:3 ) -meq-7/
OT -EH,
y_,.,
_ oUnfy of Spokane, Washington
04 4 a LLDING_COLIES_ DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
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 an/
kind or alter any building or structure already erected, or to change a land use. Construction must 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.
OC �A,_,-nI �CAPPLICANT FILL IH BELOW THIS LINE ow �•9�Qe
Name of Owner.♦-G� i� � XV'/�,,,.v„ 'ddress �L si. - 22� Phone h�G�%'/g02
Architect Q Phone Engineer Phone
Contractor j2/./G 4.. . Address /� Phone /'
Legal Description of Property (Give complete description from deed, tax receipt, etc.) � / z%� 7 �" Q L.
/3 ,C3.1_/(3 1/.ERA 04 i.. PA /? /f' A P 0
f‘V
DESCRIPTION OF WORK: New I/ Addition Remodel
Size ofLgt 15- X/.._
' ,/
ConstN //A44./ Dimensions /o )( 4 .
(Frame, concrete, brick, etc.)
Rooms_ Baths / Basement -IA. -Foundation Const
(Full, part, none)
Heat. Syste . V L1 / A ' Ty of Roofing e„."1 ---Y1-112 Ext Finish T///
Use of Bldg. iy( am. O�Q�f r'���� No. of Units
Bedrooms
Private Detitched J-''
Moving Bld Zon Fire Zone
Sewage System Stories /
Total Sq. Ft. /6 41 a Valuation i8.~
Chimney
(Kind)
Int. Wall Finish
Fireplace
(Numbe
Garage or Carport Attached
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
I here
as shown.
1
z6/
State License No.
2 -v/ -/2L.2/
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
on Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
°'ify infor ion sut itted '>Forrect and there are no other structures located on this property except