1971, 09-17 Permit App: J0719 Shed miner maw ''
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County of Spokane, a �a) O
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR. LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERM:IT FEED
PERMIT REQUIRED. A land use or structure permit is required by Cc..n7ty Resolution ;:o 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 insia'ction.
WATER. Water supply must be approved by the County and State Health Departments. Flare 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 a.nd 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 IH BELOW THIS LINE
Name of Owner M ''4/t s5 d- ."sir -/ Address ,64.aW J/1 L°tom/ 'f-t, 4.-.7-ie- Phone 6.41-1-/- / ik ta'
Architect _ Phone _Engineer Phone
Contractor _ ."l .Address _ ____
Phone
Legal Description of Property (Give omple • descripti from dee. - etc.) A.
0,3,...0i ._ — r _._• _ ....r.. _� d% i Z_ or _/ -
DESCRIPTION OF WORK:New " \
Addition Remodel _Moving Bldg.Zone— / Fire Zone� )
Size of Lo S'0 / X/$-0 ' ____Sewage System __Stor'
Con--. #1"..0,4"........ i •'..erasions /0_/ /X Total Sq. Ft. /4l39aluat C)
(Fra concrete,brick,etc.)
Roo Baths-1411r- Basement- Foundation Const. Chimney Fireplace
(F part, none) (Kind) (Number)
Heat. Syste . ,i.. _-. . Roo , Ext. Finish Int. Wall Finish
Use of Bldg. t !;d �"_/W. I. J./ No. of Units__Bedrooms
NIIIIII �� -- - _—
Garage or Carport Alta "ed 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.
NORTH ( State License No.
IS-3' / r.114.. Ino. Ins. Acct. No.
• REQUIRED
N Plumbing Permit
ilon, Heating Permit
(�U
t‘sRn Sewage Permit
Plans Received
Q)N6 Plans Checked
Plans Returned
Plans Picked Up_
Plans Mailed—_
1
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. p_
-- / /L--77
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES REFOB : CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE = .1..;W THIS LINE
i — -l'
Your street address will be i �L.�" _''L_ ,� �i / ,e zone is(.. . ._ i , /
Sewage Permit Number Issuedlding Permit -4 )
4 ) ? Receipt , ,a, ., Issued
Remarks I