1971, 06-30 Permit App: I4909 Addition4
County of Spokane, Washington
BUILDING CODES DEPARTMENT COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT --1
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of aay
kind or alter any building or structure already erected, or to change a land use. Construction mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. 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.
Name of Owner
Architect
Contractor
Legal Descri
APPLICANT FILL IN BELOW THIS LINE
—Address % C. / - .i'. ., as Phone i4•# 6997
f,Q/YGt Q�
Phone Engineer Phone
Address Phone
)t, etc.) 641-44- — /1/4
2/9 � 4 IXC ,E./as'
ion of Property (Giyg complete description from deed, tax rece
DLK6`q ,t'. £XC W./oo ,rr XC 5. Ado
DESCRIPTION OF WORK: Newer_ Addition I- Remodel Moving Bldg Zone / Fire Zone
Size of Loi /�Q X 330 0JV2 X51 0E J 7) Orh.ER -51134 Sewage System 4�// Stories
Const. ! Dimensions /y X&./Total Sq. Ft. 99 Valuation 6 0 ao oD
�i /A/t�
(Frame, concrete, brick, etc.)
Rooms
Baths
Basement
Foundation Const ej-14--"C-4-64-- Chimney Fireplace
(Full, part, n ne) /� (Kind) (Nurt>ber)„
Heat. System _Type
yof Roofing l � .y Ext. Finishp� J4'J v , ' Int. Wall Finish �w��(/-
Use of Bldg. OLIN ir4edG/�LYivL[Q_- 1 No. of Units Bedrooms
Garage or Carport Attached 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.
NOPTW
W',trJ._i` ES I V f
/a%eoposgD t 1,E:/vr/Na rctA
RVP DN•'', I 1uTs
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STdg4 a
SOUTH
,+--tate License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
en Heating Permit
a Sewage Permit
tted is correct and there are no other,
Owner or Agent
Plans Received 6/
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ctures located on this property except
3f /9 7/
Date
A LAND USE OR STRUCTURE PERMI MUST BE ON THE PREMISES B ORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be /�,,l/t e. '2 / / _ � , q_F--/ 4a
Sewage Permit NumberIssued •uilding Permit
Remarks
1!� The zone is
(7/Cl , Receipt S'`%% 7 Issued
& -5o -7/
Form 523 Bldg. Code