1971, 05-03 Permit App: I4239 Residence• , •
County of Spokane, Washington
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BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERM
GENERAL REQUIREMENTS PERMIT F
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or • 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 to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
ddress fr' /2-2 (NOvt ,'y Phone 6/4 `f 5zo
Pho.e Engineer / Phone
Name of Owner
Architect
Contractor ,6,,
Legal Description of Property (Give complete d criptione,tfom deed, tax receipt, etc.)
ec-..cll / / / —off S
Address Phone
DESCRIPTION OF WORK: New L- Addition
Size of Lot 9'47/ k/Vey
Const. Dimensions 22. S X 9- /
Remodel
(Frame, concrete, brick, etc.)
Rooms4_ Baths Basement /// Foundation Const
(Full, part, none)
Heat. -System GPW4 Type of Roofing
Use of Bldg.
Garage or Carport Attached
atP-
C' M.p
Moving
Sewage
Bldg. Zone ( Fire Zone 7
System .S, / . Stories /
Total Sq. Ft. 760 Valuation 1� mom c
/�- . Chimney /r/c/
1/ G Fireplace Z—
(Kind) (Number)
Ext Finish W Int. Wall Finish Dry/
No. of Units i Bedrooms 3
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-
m and water supply lines.
•
m
NORTH
I hereby c
as shown.
Owner .r Agent
9
SOUTH
submitted
/0f.
State License No.
Ind. Ins. Acct. Nr
//)CNREQUIRED//
V Plumbing Permit af./; 4c- l
Heating Permit
Sewage Permit ZQ t.)-17,-.1.
is correct
m
—1
and there are no other
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number
Remarks #
DO NOT WRITE BEL
O
THIS LINE
Tie
Date
CONSTRUCTION COMMENCES.
Buil
.e zone is
Receipt G�
__�- v O a;ed
Form 523 Bldg. Code
1
1
N. 122 University, #104
5
PLOT PLAN
R. H. HOOVER, INC.
/
97
WA 4-9520
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201
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F.H.A. APPROVAL ON!
5-1
SpO.O u
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Address 45:30G— f9.1/./CV_Av'2
Legal 4k- iv(014.t.-
Excavation
Forms Concrete
Scale lflim 20'
Framer
Plumb
Paint
Drywall
+1
-f /
Elect
Roof
Fin .Wk
Price fro,i2e2 Date Start
Date Fin Lender C. --/t/-