1972, 03-15 Permit App: J2169 Residence County of Spokane® Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ea
GENERAL REQUIREMENTS PERMIT FEE 41
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of au
All
kind or alter any building or structure already erected, or to change a land use. Construction must conform with the .14
Spdrane,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.
104
IplAgmlYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
to
SET-BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set-back from the front property line, of at ,e
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 f
Name of Owner 'N./VIs £FOES _Address 5-2S75 f3tRte G� 7%764 Phone 929-1y��
Architect Phone Engineer Phone
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
261"1"`f --170 ] —
ir c AA- /9 d
DESCRIPTION OF WORK:New X _Addition Remodel Moving Bldg.Zone / Fire Zone
Size of Lot R 6 X 130 D/t' 1 Sewage System C Stories�� L�
Const. PrAnl f' Dimensions 19Y2 1/-f1?9, 26 el yah, Total Sq. Ft. 006 Srt' Valuation 1J J
(Frame,concrete,brick,etc.) J
Rooms Baths_Basement PA ter Foundation Const. '0/i C Chimney .1‘,/,9,5" Fireplace
(Full, part, none) (Kind) (Number)
Heat. System f A £.. Type of Roofing GO //0 Ext. Finish �A-,DA'/ Int. Wall Finish fill'BD
Use of Bldg. S/�lq2� FA�(� / '_ No. of Units I Bedrooms
Garage or Carport r ttached �{� 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 State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rn Heating Permit
, IT
]�
-a ,ye Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby
certify information submitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
CAL -746 40,62-') DO NOT WRITE BELOW THIS LINE
Y61.
olk street address will be (9 Y`7 � 1 ti i fi
l The zone is',. .A ./,. .i-,1 r.
Sewage Permit Number Issued Building'Perm Receipt $$%�4' Issued
`,Remarks ,... 4.441
G cZ� ��l
47
Form 523 Bldg. Code
-. ..
fa".....°# 4....._-_,........
— —
. _
17 L. /7
(1.---
'..- 1- --,... ....._
A„,., ( iv[,/)/ .7's-
_._
H
r.--,
,
tri
I
i
(ii IN
vil
1(...)
_ .
...
-t)
-1 1,1\
I
I •,...
,__ ....-'
I k 7-0 rn-1.4- --- V---/i../X3/tilv---) -' I
_
I
(S'2 1 I 1c)( ---"'
-- ilK -----
76.110/
Tux (St
)//`(1( /.. 7V"7 °C)b 1
I -
2 1 Z -1. 3f/3T-
'
1
1 L
bo b ( prof-/
1 Q 17
C-'1 ,
f' (.1" - v• _. __
a 01 V /‘,//1 ti FPI lei,W