1971, 08-11 Permit App: J0322 ShopAPPROVED AS NOTED
Spokane County Bldg. Code Dept.
Date S—/i-7!
by BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201
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County of Spokane, Washington
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 1ST
GENERAL REQUIREMENTS
PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of ant
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.
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 o5Py&/6
J
Name of Owner i�.��. _ Address .2-n
0 C- 64 1 Phone WA -b -37&'
Architect izdp Phone Engineer Phone
Address Phone 'L
Legal DeBcript on of Property (Give complete description from deed, tax receipt, etc.)
,g_25-41-- 1#/6 --
Legal J s
y
Contractor ,4.444.42-
.6 Z vV � 7-1.? AC 7- /$7 'PP6RTUN/TY
iOiF WORK: New Addition le".... -Remodel Moving Bld Zon Fire Zone
Size of�" oC L L -,t 4 Sewage SystemStories
DESCRIPTION
Const.---12412,144-4 Dimensions ilA y'- ` /..X 4 Total Sq. Ft / -. 4 Valuation 4
(Frame, concrete, brick, etc.)
Rooms ` Baths — Basemer4teet. Foundation Const (! / .P .Ja.Ld.G-Chimney Fireplace —
(Full, part, none) / (Kind) (Number)
Type of Roofing �'7'�' Ext Finish i Int. Wall Finish
_ ad—e.-d-a, .2C.¢� No. of Units — Bedrooms
Heat. Syste
Use of Bldg.
•
age 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 aid streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
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STaRAao SH.EiD
1 eAlsr,Nq C.ARA
_ . PRaPOs,TsD ADPii)®N
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rw Heating Permit
,D Sewage Permit
Plans Received ✓
Plans Checked
Plans Returned
Plans Picked Up (�
Plans Mailed
SOUTH
I hereby certiformation submitted is correct and there are no other structures located on this property except
as shown. fre
-it ` �� �
Owner oAgent 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
Sewage Permit Number Issued Building Permit
Remarks
3
•
e zone iso - t�41
Receipt 74 3.9- Issued Fl -/l --71
2-
Form 523 Bldg. Code