1971, 09-02 Permit App: J0563 Residence County of Spokane, WaskIngton
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 €y�0
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 a 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 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 flaT/dtl/, ACI f Zerfr1//? Address T MrCIicw/T c /gel ' Phone
Architect Phone Engineer Phone /
Contractor EX CFLv (O/vr7ZJ Address IC, j(? 2j- i1 o't :II Phone09-`!o ` -5-ZY
Legal escription of Property (Give complet description from deed, tax recei etc.) o' 95'V —0607
4-6, - ---r___-_____,1_____,411:),,t- / ei — �-_= -- -e ,- 4i'if
DESCRIPTION OF WORK:New 4- _Addition Remodel Moving Bldg.Zone 0�Fire Zone
Size of Lot /OU) j( t)0 0 o _ `� Sewage System .5E'W;[_ o-,;(ofes / /�--
Const /';eft Dimensions 5_y Total Sq. Ft. ' �'�f7 Valuatid i 3 c p Co 0�`,
(Frame,c crete,brick etc.) / e
Rooms Baths -S Basement F)t_.(-Foundation Const. `` ai,di?r IC___ Chimney/lei( !v� Fireplace
(Full, part, none) // (Kind) (,/ (Number)
Heat. Systif '95 Type of Roofing 3 Ad t ej Ext. Finish/✓�j??i(k 9/C(k14Int.Wall Finish .A Prd/LCy4
Use of Bldg. r('f, Jr.,, c_f ____ ___, No. of Units / Bedrooms,-___
Garage or Carport Attached t/94 /1f7fC/1 c h ____ 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.
..mginzipi 50c,',-- 3 ii ,,,,,,,,?„ ,4 State License No.
/Li L.! Ind. Ins. Acct. No.
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4 f `'_ ?-
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e„ REQUIRED
(V &dale I c/6 -
3° Plumbing Permit
on Heating Permit
on
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11,--1-------z-- ® yei,i,c , Rn Sewage Permit _
'__ _. ___ t fill-Plans Received
Plans Checked
Plans Returned
Co) Plans Picked Up
it
b' / tv Plans Mailed
i
I hereb er ify informat• r • matted is correct and there are no other struc.ures located on this property except
as shown. 1 /vJ'/ t / C7
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
2
Your street address will be (1 --lo ,�
i4 4414'4414.-40/ 02(zif dc The zone is
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Sewage Permit Number Issued Building Permit Receipt'g11/) Issued yl--S-7/
Remarks
Form 523 Blda. Code