1972, 05-09 Permit App: J2934 Residence r'ROVED As NOTED I
Spokane County Uldg. Code Dept.
Date Q-7'� County of Spokane, Washington
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�� �, BUILDING CtDES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
by ( ect
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ,� 0 0
GENERAL REQUIREMENTS PERMIT FEE
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 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 tis required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are requixtd. .•••wa
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 A4044 i a, 99.46
Name of Owner , • i , - > . Address S. f °, 4 Phone (.✓fF G--- '-1- 7 7
Architect 'hone Engineer G/p t-- 9 ,--2c,-• /i-np c c :q Phone [.v/1-4 -1'3 2-
Contractor ' -/C ;I ' 07 L- 1/ N e h Address S. t 3..7. (... S k ,e w r - T 11. Phone cc) ,4 r __ 9-2 7 7
Legal Description ofProperty (Give complete description from deed, tax receipt, etc.) L._o r T ,' L a G k ?
Ext---7- -
J
_ a. A • . - - ; , ,ais'/� -9aot
DESCRIPTION OF WORK:New X Addition Remodel Moving Bldg. one Fire Zone IL! /
Size of Lot ry.� �( / S`/, 74e ' Sewage System T, r %4(r4Stories .1/Z..-
Const.rv-a-..,,.' Dimensions ,r2 5" X U- 0 Total S Ft. c `' r'
Sq. �S Valuation �/ v o c: _
(Frame,concrete,brick,etc.) �p Q:�. f
Rooms 7 Baths , Basement PA i/ Foundation Const. eo .-i C'_ t-r_Tom- ChimneydPS-4/T Fireplace / w
(Full, part, none) j (Kind) (4,ac/.c (Number)
Heat. System p $. Type of Roofing C 0 ,.,., p Ext. Finish Te i. /- I/ 4r, Wall Finish j »Jr r 14J/I/
Use of Bldg. ,3 r n 5 L c Fn--w, . i 1 R e c , d e 412 i No. of Units / Bedrooms 7`
Garage or Carport Attached 6.1,9- .4....5 0"' 147t1" +� .6'. C Ly.- ./ 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 aad streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH State License No.
3 C / I ' s12J cls
Ind. Ins. Acct. No.
1 i REQUIRED
Plumbing Permit I�
m Heating Permit 1/
en en H Sewage Permit
-I ))>-( )\ 33)\./ I -
Plans Received V
Plans Checked 1,---
Plans
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cer 'f, infr:tion su. n;tted s correct and there are no other structures located on this property except
as shown. i'
i
)'22 ' 9, r ' 7 a__
0 ner or Ages' 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
Your street address will be 1- ''' , __t" ����t/
. A -r>�ro.u� .r4 ,,..e zone is Y`t" � - - �-
Sewage Perm ,ber ..Issue. Building Permit( '- ''Receipt 9li0 ci Issued 9-3--:Z
Remarks /� i , _/, ,.. dal ar / - —
--"'''''----Rj_..,e._e—A--/tj (,–)42 7/1/4/2.4.:0
Form 523 Bldg. Code
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