1972, 03-13 Permit App: J2137 Residence County of Spokane, Washington -
BUILDING CODES DEPARTMENT, COURTHOUS2, SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT C3/
GENERAL REQUIREMENTS PERMIT FEE
`�' �
PERMIT REQUIRED. A land use or structure permit is required bs Ccunty 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
cSpokane County Building Code and Zoning Ordinance. Construction is si,"sect, 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 Noe, 45-133 send 47.235.
SET-BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set-hack frc n the front property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street. ard 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 he approved by the County Engineer. 4
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 INBELOW THIS LINE y��
Name of Owner )11/, M• e. Fla v F_s Address S CJ l p/C'ge e R u Phone (?4-78--/y 6
Architect_ ..'/i27 e Phone Engineer . __ - Phone
Contractor 5/4/77 F' AddressPhone
Legal Description of Property (Give complete de cription from deed, tax receipt, etc.)
— G #,p_16-2/GI — --f2c/C,._ -- Lis / •
--- . AUT- 3 !tel o X c y�,sTk" ___ 115- S
DESCRIPTION OF WORK:New •K Addition Remodel Moving Bldg.Zone 1 Fire Zone
Size of Lot G 0 X' 1 3.-. o-n ! I- ,
1 Sewage System _-� � C Stories
Const. F1 A✓ki t' Dimensions 1:7( X 1L 6)l 2 Li Total Sq. Ft. 3 D - Valuation 37 v O 0
(Frame,concrete,brick,etc.)
Rooms 1'; Baths__ ._Basement fi'i-L Foundation Const. G tJINI C- Chimney /WAS' Fireplace 2-
r (Full, part, none) �1 (Kind) (Number)
Heat. System ! -� (-r r/1 Type of Roofing . //14KE Ext. Finish c b / Int. Wall Finish UJII D
Use of Bldg. v /hLal GP F4 n)it y J?e _ _` No. of Units / Bedrooms
Garage or Carport Attached/ G-/9:4A- 7-7- Private Dekatched
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.
(/d NORTH State Licen a No.
Ind. Ins. Acct. No.
REQUIRED
61
Plumbing Permit UN f
jrc Heating Permit 11-N i
to
4 Sewage Permit
1 Plans Received
Plans Checked
Plans Returned L
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. )......4.."1 /
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES ElEFOR CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
11- -Ilk 1
` c1 DO NOT WRITE BELOW THIS I-,M
Your street address will be ` ' ' '
Sewage ) �� � �Lj� � The zone is -[
g Permit Number Issued Buildi..z :'erei.x , .
Remarks Peceipt � Issued
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