1972, 08-14 Permit App: J4064 Addition County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 6o U
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 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 toenforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE ,?9,,,,,,
Name of Owner l4_A.A.Ir. I,,4 .:......a •ddress e._/,.... .,__A_2 to4. y Phone WA-t'"6g7d
ArchitectPhone Engineer Phone
Contractor �j t.444.Q,, Address Phone
Legal Description f Property (Give complete descripti/o� from deed, tax receipt, etc.)4�1.c(i 63,54// —2 U
- 1E,/S3 /�(. .3V(]/ V`
d8 K- i-'
DESCRIPTION OF WORK:NewAddition X Remodel Moving Bldg.Zone / Fire Zone 3
Size of Int / 2 3 X 3 ei o-7---- Sewage System St ies
-
Const. C7 X
_ Dimensions lo2� Total Sq.Ft. =240‘.,�!.4 Valuati 7
(Frame,concrete,brick,etc.) -
Rooms_,Baths Basement — Foundation Const. _•GLL �_Chimney Fireplace -----
(Full,
(Full, part, none) (Kind) (Number)
Heat. System Type 1 f Roofing ' Ext. Finish r/// Int. Wall Finish
Use of Bldg. _. .o. . ., _ 4,.. is f �../. .t_ /AV/Al/ail/4 ... '.1.4_-Aa..' ��%milli-/ ' , of Units Bedrooms
Garage or Carport Attached 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.
IInd. Ins. Acct. No.
e
41."15T/Ner t - REQUIRED
11
Plans Received f
Res
Plumbing Permit
m Heating Permit
ni a
to v, Sewage Permit
.� 6)CIST/AICt „4
CAR* 0DoOL.
s�},ED /-
'P` d �—
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Q
pR�� A PlansPlans RC I.
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted i correct and there are no other structures located on this property except
as shown.
Of
ner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO SOT WRITE BELOW THIS LINE
Your street address will be e,, 1 3 L a 6.2 The zone 1
Sewage Permit Number Issued Building Permit Receipt 24.4 Issued
Remarks
Form 523 Bldg. Code