1971, 07-22 Permit App: J0148 Residence1 1011/
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
PERMIT FEE
PERMIT REQUIRED. land structure
rascby County
solution to er
ect a building rtthe
kinr d
anybulding orstructurelreadyereted, ortohangealanduse.Constructionust conforor m
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
e
iheEsurface, beed by the
County Roads, permissionand State ealth must bepobtained fromrtheork on Countyater Engineer'S Ofect fice.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
leastSET-BACK 25'FisMrequired, al 5' side zones and
side yardrmost from acflankingnstreet,sandback 25' rearhyardont arepreq iredrty line, of at
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
and egress.
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 Rom(
�) p
Name of Owner u'�/- . /.4M ,4 beLEW.S Address So' Z5-/5 r`�~Le Ind Phone /«2a '/h7
Architect ✓ Engineer
✓ Phone
57
Contractor �,h e -
Legal Description of Property (Give
Lo rs /z and
Phone
Address
Phone
complete description from deed, tax receipt, etc.) Tp 1rJtV S/Tt
/4' 410 or DoT /1 / 4A-ICala. /(oKonv
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot { ot CX')3
Const. `. /4,11 a Dimensions 7/X 6
(Frame, concrete, brick, etc.)
•
Roos_Baths ..10. Basement FCtl/ Foundation Const O�'1 C
m
i, (Full, part, none)
Heat. System /714 ' (!.,1S Type of Roofing amp Ext. Finish
Use of Bldg.
<S, 17 j./ & FQAn,/ N5.
��
Garage or Carport Attached 64g
Moving
Bldg Zone
Sewage System C3 71/6 , J
Total Sq. Ft a 7� Valuation 3S ecd
Fire Zone
Stories / 1-Z
Chimney /3t -k Fireplace 2
(Kind) (Nu ber)
/7y Int. Wall Finish 60/
No. of Units _ L_ Bedrooms
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.
m
NORTH
4Tt,
m
N
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit 1" ---
Sewage
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. k:es
7-2 ?--,/
Owner or Agent 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 be S o
Sewage Permit Number Issued Building Permit
Remarks
The zone 1
Receipt %A.kO Issued 7 ` ` 7
Form 523 Bldg. Code
yy.N1, RLeues f3LLM
9ee- )ci o7
/80 / 0RA/ . / F/6) (c/
/00 6-4 TA'V`j
S�Al� / "= 20
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