1972, 09-28 Permit App: J4670 Residence, Renewal of J0698 r
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ,
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. I
WATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
theurface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAE SYSTLM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SE3BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set-back from the front property line, of at
lest 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
w "ch are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
�,� PP N�FILL IN BELOW THIS LINE
Name of Owner ./r-//_ 1 / 111_r/.1.1A _.:-.. ddress ,6 1� on- _ ",51-0--",._-#
Architect gone Engineer Phone
Contractor Address Phone
Legal Description of Property (Give complete de c•ption fr.m d,,..tax receipt etc.) i
t-5` — ,1 D °_ `! /�»
/( - ' ' /
DESCRIPTION OF WO'K:New //Add ion Remodel Moving Bldg.Zone Fire Zone
Size of Lo/ /moi 5 X / e Sewage System Stories P_
Con 411,...a. i/A. s•mensions a 3-2,r �% /c - - Total Sq. Ft. 7 . t Valuation
(Fra . oncrete,brick,etc.) SOU
AirRoo, 4 Baths / Basemen /Foundation Const. e..,a '
2��. Chimney Fireplace
ow
Full, par�t o1 one (Kind) (Number)
Heat. Syste . "//. _%-. - 'yro ofing Ext. Finish Int. Wall Finish
Use of Bldg. / ' No. of Units Bedrooms
G. : ; .ort Att.,ched ' ! '- '- — Private Detatched �I
d r PLOT PLAN
:w 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.
NORTH State License No.
Ind. Ins. Acct. No.
9/ /j REQUIRED .
V Plumbing Permit Z. -�„IF
m j/� Heating Permit
m \ut i N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH �
I eby rtify informati�- submi�`ed is correct and there are no other structures located on this pro erty except
as show . i
y o Agent Date
,./A A USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
c9 -3/1,t,eby ZDO NOT WRITE BELOW THIS LINE
Your street address will be /72- 2_7 // /
�_ /'0. zone is _ .
Sewage Permit Number Issued Building Permit 44/6,Y6,-70 ••ceipt ,Issued
Remarks
Form 523 Bldg. Code
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_ , �.�.�.�'WA.� - BLAINE-JO. HNSTON CUSTOM BLDG.
„,_, ", . ,, �� P.O. BOX 14393
LO7 i '=� I .0C—\< 2 � OPPORTUNITY, WAS NGTON 99214
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