1971, 03-01 Permit App: I3562 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 49207
7
APPLICATION FOR LAND USE OR STRUCTURE PERMIT A
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.
1APPLLII�CANT FILL IN BELOW THIS LINE �/ s�
Name of Owner 1�I,SkF_ 7,A} LS L- - (..t, - Address9/1.� PeeO eco C. S Phone�fTg��T7
Architect ��)) Phone Engineer Phone
Contractor 54-,fi e j4 £ L) AJ 6.2_,„ Address Phone
Legal Description of Prop rty (Give complete de-cription from deed, tax receipt, etc.) 2 d f l pi°GJ .Zb /�}..e Hp/, i Sk, l� S a S l �,S/r/ i1y f J
DESCRIPTION OF WORK:New Addition Remodel Moving B1 .Zlon Fire Zone
Size of of 70 X 13° 1 ] 6•0‘1 Sewage System / / C- Stories � ' 1
Const Ri4tiJ f_ Dimensions �� ,)-i?--,---)-' ` Total Sq.Ft. /1-4 Valuation j.3,U O
(Frame,concrete,brick,etc.) pp0
Kee-- auM �,,v,,.SCJ� `�-(o/
Rooms .� Baths - Basement Fib Foundation Const. Co-✓(Lot '6- Chimney Fireplace V
(Full, part, none) c (� (Kind) (Number)
mC
Heat. Syste /k . Type of Roofing J/fJ¢kec_S Ext. Finish _S2JA/-®/J Int. Wall Finish Dlgj/'LA)A-f
Use of Bldg. Ri6'.S r d/e.AJ c_ No. of Units Bedrooms
Garage or Carport Attached ' Gip-A'/ - 2 C14/Q , Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
and water supply lines.
�/ ' NORTH ,�s atz5L.ce se o
C�
cAts-t e Ina. Ins. Acct. No.
y x7'7, -2-90
Orli" ) REQ46I
Plumbing Permit i
' m Heating Permit
m Mill
in _ • cm Sewage Permit
..1 lila
/
1.
k Plans Received
Plans Checked
Plans Returned
167b / Plans Picked Up
Plans Mailed
SOUTH
I hereb cs t fy inform•'^:on. .fitted is • •ect and there are no other structure located on this property except
as shown. /
WI Owner or Ageii! Da •
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE ONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. / .
U DO NOT WRITE BELOW THIS LINE j
Your street address will be fr5 .1 '/ A 'e zone is , .
Sewage Permit Number Issued Building Permit Receipt .9i 2 sued
Remarks 3-N Z
/ /.1,/
Form 523 Bldg. Code