1971, 05-03 Permit App: I4240 Residence• /534 S%In`,5/rA1
•
<J� 7
37 County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 9920
APPLICATION FOR LAND USE OR STRUCTURE PERMI
GENERAL REQUIREMENTS PERMIT F
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a buildi
kind or alter any building or structure already erected, or to change a land use. Construction
Srokane 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 COdisturbs
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,
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
or structure of
list conform with
b
• 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 l
Name of Owner - / • / oo 1- G, Address 4 - - / i Phone h/,19-9' 2C
Architect Phone Engineer Phone
Contractor 14-o4 di,: tof-- 77es CS-Rma) Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
C . /
f474,/ -.64,,A1 Svc
for c e, / # /4'Sy4/ - o/c.?
of at
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire Zone 3
Size of Lot e x /4/6). s Sewage System -S- T Stories
Const f 4 m e- Dimensions X .14 Total Sq. Ft /-4—$ 6 Valuation .20/ Sr5 O
(Frame, concrete, brick, etc.)
Rooms f Baths 2 Basement /C-21/ Foundation Const
(Full, part, none)
Heat. System 1 F`✓A Type of Roofing C0My- Ext. Finish
Use of Bldg. /?C+ S
Garage or Carport Attached N an'C-
.045 jc7
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-
ifi\...s, tem and water supply lines.
Con Cs
PLOT PLAN
Chimney 0 Fireplace .—
(iK nd) (Number)
Int. Wall Finish p/y
No. of Units / Bedrooms 7
Private Detatched
m
NORTH
REQUIRED --%
Plumbing Permit �` h z /fe
in Heating Permit 1,//
{/1 Sewage Permit . iLSch-e
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.
ic-u-tA7 _Se= 3 — 71
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be Sr
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW TH LINE
•
ildin:d.V: it
e zone is
Receipt (f Issued
.z yo
Form 523 Bldg. Code
13�
Address
;104
PLOT PLAN
3o
Jo,
R. H. HOOVER, INC.
/O'
/0
3�
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4--;520
DGC
MFE
36'
141
36)
S—L
73' CDN.
/5 '
F5/
30
/5-31 Z:522- ;,,;7 •,; i7
.eyal "t. �, r�-,/4-5
Excavation
N
/yo,
F.N.A. APPROVAL ONLt
Drywall
I'in.Wk
Forms Concrete "`""` Price 20_65 -0 Irate Start
'cale 1"= 20'
A/r.
Date Fin
Lender_�—