1971, 05-17 Permit App: I4403 Residence APPROVED AS NOTED
Spokane County Bldg. Code Dept.
County of Spokane, Washingt tE /q-7 I
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WA - 4 ►•,A.4 -.Y4'11
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT G
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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.
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.
(� Cil
APPLICANT FILL IN BELOW THIS LINE
Name of Owner`` e , J a v�' Address I CL fir Phone /VA q'6T9z
Architect /Ie to PI/ Io.7 vis -J-y -,Phone Engineer L Siw % j Phone
Contractor5i Address �_ Phone_
Leg: Descr'pti n Property (GivQ complete description from deed, tax receipt, etc.) t.., .,17...7 a G<-e 7
_. j. 6-5-T-2---43- 6 /2-ZIA.--,
DESCRIPTION OF WORK:Newt- .Addition Remodel Moving Bldg.Zone 7 Fire Zone .-
Size of Lot Ili' ,X I _""T� v Sewage System . v_�--✓ -Stories a_
Const.f -<_es---` ' Dimensions - ' -� -y i 1 Total Sq.Ft. Gy 7 Valuation
n a v
(Frame,concrete,brick,etc.)
Rooms 1 Bath0 lb. Basement Basement rut I Foundation Const. i 0 /7 r-j -'.J R ChimneyB' s (--1\. Fireplace
< (Full, part, none) r (Kind) (Number)
Heat. System ,..I -
- ' / Type of Roofing - Ext. Finish,% St...,-)1 Int. Wall Finisl
Use of Bldg. (9-0-"r-40e'
' p ,p - No. of Units Bedrooms 177
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.
, 5 TJH State License No.
�V(JJ Ind. Ins. Acct. No.
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REQUIRED
v
Plumbing Permit
Heating Permit
m % -a
ui „, Sewage Permit
_+ ” j�
Plans Received
'V Plans Checked
Plans Returned
_ft Plans Picked Up
N . Plans Mailed
SOUTH
I here c tify nfor tion u itte ' correct and there are no other structu es located on this property except
as shown.
Owner or Agent bate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WJtITE BELOW THIS LINE <
Your street address will be.. �/ �� ' i e•-(21, •�� ��i�.,.f�2' lt._ � � � �e zone is _ �(f�,�
Sewage Permit Number Issued Building Permit lQ J Receipt .6-49d1) Issued
Remarks 7
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Form 523 Bldg. Code