1971, 04-27 Permit App: I4162 Residence0
11
County of Spokane, Washington,o>
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTO 99407
APPLICATION FOR LAND USE. OR STRUCTURE PERMIT o_
GENERAL REQUIREMENTS PERMIT FEE_.. -- .............
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of Bay
kind or alter may building or structure already erected, or to change a land use. Construction must conform With the
Spokane Crudity Building Cade and Zoning Ordinance. Construction is subject to fns parting.
WATER. Water supply must be approved by the County and State Health Departments. Where workonwater connections disturbs
the surface, shoulders or ditches of Costly Rands, Permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nm. 45.133 and 47235.
SETBACK 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' aide 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 Bad ingress
sad egress.
COUNTY• -ROADS': Work on street right -of -Way may not be performed until staked by County Bud Department and work moat to
performed In accordance with stakes, Points of ingress and egress most be approved by the Comply Engineer.
MOVING OF BUILDINGS. A permit is required to move so existing building. When a building is moved on a Ceuaty ox 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 COMANTS. Builders should check provisions of covenants or dedications and easements ranging 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
Name of Near.�(�<= �y �y-�-- nor... � tonne I
Architect/����{� a Engineer Phone
Contractor mac' \� Address Phone
Legal DQ r ption of PrJyerty (01ve c ete description few deed, tax receipt, etc.)
DESCRIPTION OF WORK: New m
Addition Remodel _ Moving _ B] . Tone Fire Zone 3
Size of]IQL &l0 X / -?� Sewage SyntexStories �e
Const. �_'�+a� DlmerWons as'.Y 3 Total Sq. Ft. �- Valuation /C . / 4'd
(Frame, concrete, rick, etc.) �y
Santa. 1 SellsBasement Foundatlon Const Chimney Flre lace
(Full, part, none) / (Kind) (Number)
Heat System Typy of hoofing Ex0. Finish�� Int Wall Finish
Use of Bldg. /� No. of Units Be ms
Garage or Carport Attached Private Detstched
PLOT PLAN
Draw sketch with dime.. ions showing: (1) property lines; (2) street or rood locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location .f sewage sys-
pem and water supply lines. State LiceW No.
Q,tl`A1 NORTH 1:31�
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
neaung r•emur
NSewage Permit
y
Plans Received
Plans Checked,
Plans Returned
Plana Picked Up
Plans Mailed
I hereby certify intom/pt ubmitted I. correct and there are no other structures located on this property except
as shown. ./ /1 / r / / _
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MU BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
///,., DO NOT WRITE BELOW THIS LINE
?
Your street address will be = 2; `j,/ 4 .-.. The none is
Sewage Permit Number Issued Building Pe Receipt 3 Iseuetl
Remarksit!
norm 523 Bldg. Code C7 - S_ ! l-/ q_� — 6
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S7CVIeK ADD