1972, 07-05 Permit App: J3645 Residence / County of Spokane, Washington .
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT'
GENERAL REQUIREMENTS PERMIT FEE_.SF .,.VCr
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 most 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 II! BELOW THIS LINE 0249.44:04,,i 1, go1AIp
i
Name of Owner -kg, c:+cati'e Zt ttai. L Address ___.61_, I"1--L Ut� T
tleilisLPhone C`'-'`AL 9 S 2-C,
Architect_ Phone Engineer Phone
" 14. Phone
Contractor c'Sc� `;,1� I�` Address 5►1��
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
— L&r V-1.- _ R LoLA< CiaST�..e —
A •
___c. L 41 3 5 q'Z— C!C (.4
DESCRIPTION OF WORK:New )' Additipn Remodel Moving Bid Zone I Fire Zone 3
Size of Lot I'2 5 � d �0 l'.-� . .S I lZ R C--1- Sewage System Vim+`3 Ll L Stories i
Const. C.R.AIM E Dimensions e.):_ X 12 L S j S F. Total Sq.Ft. !6-2_0 Valuation `27�0 Ulf.'"'
(Frame,concrete,brick,etc.)
Rooms Z Baths Basement F7k.t 1 w Foundation Const. C 6. i.4 C_ t_T C--_Chimney 'BR'LI‹' Fireplace 2--
(Full, part, none) 'ii SI +Z (Kind) (Number)
Heat. System CA F A.i A Type of Roofing `'i t1 Ext. Finish �1L ,Z .5 i'D Int.Wall Finish D t
Use of Bldg. Ni k/q-T-'L sZe S i D E L.1 L E= No. of Units I Bedrooms 3
Garage or Carport Attached 2— LAR 141— Private Detatched Nif0 / E
Z j e c? 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.0 State License No.
NORTH
.123 c,r 170 �1-7.3
Ind. Ins. Acct. No.
Se E A-T . --(-0.T 4-4 04 REQUIRED
Plumbing Permit U T K e-D
in Heating Permit U 71 I a I)
in
v► ,D Sewage Permit
1 -4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
.1 Plans Mailed
TH
I hereby certify infor /SOU
i e. i and there are no other structures located on this property except
as shown.
s -r ' „,- - moi :j -)t.,L,I' -7 .7
nen or Agent 1,„��� � Date
A LAND USE OR STRUCTURE PE, • T �.ST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
' DO NOT WRITE BELOW THIS LINE
4346.joem,c2 Jr
Your street address will b .._I 4.1... ' /I i ../ .e zone 1e
Sewage Perm t Number Issued Building Pe Receipt g'/'7g Issued
Remarks �,r°- —/C-cL-d 6-2,1% 77'
31. 344-..1
- d
Form 523 Bldg. Code
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