1972, 06-22 Permit App: J3533 Residence• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
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 mast conform with thy
Sp5kane 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.
en
APPLICANT FILL IN BELOW THIS LINE 314,yikiz, _.°�
Va'4J
Name of Owner_moi$ /P'R '/ a0Y r7--- 4 Address /1(7., 7 ' 4/^91/e.e eif Phone
Architect 2',c9 .SO,✓ Phone/409 i4X-52'/Engineer Phone —
Contractor _ _S�/YJ e
Legal Description of Property (Give complete description from deed, tax receipt,
e. /i8o 2, .sem ?ra f{vre iss i asa
Address Phone
etc.)
DESCRIPTION OF WORK: New • Addition
Size of Lot 73 X /, 3
.-
Const.,�'-/f'/? /s7 P Dimensions "96 x .2- 7 — /.4 / us
(Frame, concrete, brick, etc.)
Rooms Baths _ Basement ielf'C1 Foundation Const
Remodel
Moving Bldg. Zone
Sewage System-fro°77 T
Total Sq. Ft. /13(5-
(a �t c/�t Te
part, none)
Heat. System /y ' !'Type of Roofing G/`T,% Ext. Finish .7-/1
Use of B1dg.8 .S /,4 .e ' {,
Fire Zone /
Stories / Y
Valuation 2 e2
Chimney'/e/▪ k Fireplace /
(Kind) ,` (Number)
Int. Wall Finish 1]iQN144-4 A L
No. 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.
m
N
NORTH
.0 7 rL /7 i'r✓
I hereby
as shown.
UT
State License No.
Ind. Ins. Acct. No.
4/4/0 r
REQUIRED
Plumbing Permit 45/7YAltGi✓
Heating Permit S,1/
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
bmitted is correct and there are no other structures located on this property except
"b-wner
-
r Agent Date
A 2Y /,`•may
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
t Your street address will be
Sewage Permit Number Issued
*Remarks /ep�,.e-td€J
A A
Building Permit "\
e zone 1C LSI K SaGac
Receipt Issued
Form 523 Bldg. Code
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