1971, 07-01 Permit App: I4915 Residencer
County of Spokane, Washingto
BUILDING CODES DEPARTMENT COURTHOUSE SPOKANE. WASH
APPROVED AS NOTE: cp.
Spokane County Bldg. Code Dept, 1
Date
tTON 99201 4.0
APPLICATION FOR LAND USE OR STRUCTURE -PERM 0S
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an7
kind or alter any building or structure already erected, or to change a land use. Construction mast 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 UNE
Q
Name of Owner './. � � .� ddress C /.2 17 �1�a " 9 9 0 7 Phone /!/ g 6,374
Architect Phone_Yawineer Phone
Contractor -- Address ,Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) oC "7317/ 4, — 24
40T 2- ,C L4 f //H ALJ. C RE s 7- A C/ E s a gun AP/).
DESCRIPTION OF WORK: New f— Addition Remodel
Size of LS. /d D X l.QcS'
Const \.T, 2 via , Dimensions 7.21C . ' " 4- 4x -z 4
(Frame, concrete, brick, etc.)
7 Baths /..2 Basement
(Full, part, none) � �,,,�,/
L A- Ty of goofing �^ ' - "/e..
Rooms
Heat. Syste
Use of Bldg.
Foundation Const
Garage or Carport Attached
h
Moving Bldgg Zone Fire Zone
Sewage System , D.4fli4 C, Stories / 0
Total Sq. Ft. /7S -Z Valuation <Q62/5061----
Chimne Fireplace h
(Kind) (Numper
Ext Finish %!// Int. Wall Finish i
.f9_Q
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.
No. of Units Bedrooms
Private Detatched
NORTH
/9
e'l
PRD loos
.s
�Tr:
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/9,
"TALL TRE-
tJTH
I hereby cer y information submitted is corr
as shown.
Owner or/ gent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
m
N
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
1
Heating Permit
Sewage Permit
Plans Received
Plans Checked t-
Plans Returned
Plans Picked Up
Plans Mailed
t and there are no other structures located on this property except
—1-7/
DO NOT WRITE BELOW THIS LINE
Your street address will be E 3)
Sewage Permit Number Issued
Building Permit
•
e zone is
Receipt =T6%6
Remarks
Form 523 Bldg... Code