1971, 08-10 Permit App: J0307 Residence County of Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201 , / ..�
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
1PERMIT 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.
APPLICANT FILL IN BELOW THIS LINE 992./0
Name of Owner .. . . . A/.t .r. .. .10 _ ddress c5 O 1 ei4I/.0e.�/-�,►4t.a n Phone j4'A' i'6-3 a `--.
Architect Phone Engineer J) i-4-01-01
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) 35" /Phone
D 2/D
W. 44, /3 4,1(.1- ,Eveiefi.k.e d soi: -- PART OF TRACT 1/5 W.ST FARMS
"AR 1k/T/o/l rft ACTS PA-AT- 1 g
DESCRIPTION OFaWORK:New ` Addition Remodel Moving Bldg.Zone / Fire Zone J
Size of Lo �p g, o�) / '/� Sewage System �JJ /t'/ Stories �L.
Const. N.±,-1-4.4441._ Dimensions —I&'Y,1( ` 21 A°2'7 1 Total Sq.Ft. /9 9? Valuation -'7 G®O-�
(Frame,concrete,brick,etc.) °� �� /1
Rooms AO Baths 4 Basemen'l S�Foundation Const. l Chine Fireplace
(Full, part, none) (Kind) (Nuer)
Heat. Syste A Typ of Roofing Ext. Finish d2 .4 (Int. Wall Finish
Use of Bldg. i Q.) IAA f Zjy1�(-
No. of Units Bedrooms
araw
Garage or Carport Attached Private Detatched
PLOT PLAN
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.
State License No.
NORTH /_C,
1 Ind. Ins. Acct. No.
'1
v, REQUIRED
Plumbing Permit
1 urn Heating Permit
in
0 / PROP1SgD � An` • z ,9M Sewage Permit
�— 6 _____1 /�k'S/O A/cE I BAR
t
.4 Plans Received
w--• ■
�\ Pians Checked
(„l Plans Returned
Plans Picked Up
IPlans Mailed
1
WE4I,E'SLa AV Es
SOUTH -
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. / "Q,. /9 7/
411111110.—___- ._a.— .... / // i , . ,. .. -,-
Owner o• Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
,
I
Your street address will be 3 9'/ /
.� = '- The zone i
Sewage Permit Number Issued Building 'ermit 4 a_30/ Receipt TI1-Z Issued jr—/G-7/
Remarks V /7
Form sn Blda_ Cade