1971, 05-28 Permit App: I4558 Residence0
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT Dom
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.
SETBACK 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
Name of OwnerA_A_A_ zIn- dust3 1 e 8 Address — Lim E. Mission Phone Keli06 .8
Architect Phone Engineer Phone
Contractor it Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot l- Block 4 Glen View Ar -res Second Addition. acd niZ to plat recorded
in Volume 9 of Blates, Page 3, in Spokane 0ounty, Washington
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone Z— Fire Zone
Size of Lot 105 X 134 Sewage System Se +i c Tank Stories 1
Const. Frame Dimensions 46 X 53 ZL4k D Total Sq. Ft. ' c n r gfa, 0aluation AILy00000
( Frame, oncrete, brick, etc.)
Rooms. Baths 2_ Basement F'»l l Foundation Const. •onnrPt.P Chimney Fireplace
(Full, part, none) Shake (Kind) (Number)
Heat. System El Pfltri r. n] ype of Roofing Split Wood Ext. Finish Wand Siding Int. Wall Finish Wall Board
Use of Bldg. Home No. of Units 1 Bedrooms 3
Garage ori-arpartAttached Garme Private Detatched a
PLOT PLAN v
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 cnnn1v lines_
NORTH
State Lice a No.
Ino. Incot. No.
REQUIRED
Plumbing Permit
m Heating Permit
a Sewage Permit
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOU TH
I hereb certify info r tion,submitt d is correct and there are no other structures located on this property except
as shown.a.- a ` -i-- _og .;z
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
// DO NOT WRIT LOyV THS LINE
Your street address will be (O The zone is
Sewage Permit Number Issued Building Permiteipt _�� XIssued
Remarks
Form 523 Bldg. Code
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A)a Lot 1. Block 4, Glen View Acres
Second Addition, according to olat recorded
�%o 5�:� L• in Volume 9 of Elates, page 3, in Spokane }
County, Washington. M
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