1972, 03-28 Permit App: J2881 Remodel ,..
0 .
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /
GENERAL REQUIREMENTS PERMIT FEE-/ 'C
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 mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Nater 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. kyr
SEi-BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set-back from the front property line, of'Cat
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required. i
STATE HIGHWAYS. Where the structure abuts a State Highway. clearance must be obtained pertaining to set-back and ingrds
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
peeferrittra. 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
Name of Owner .i ..—', 44( _� � , -4 ,...3,;/0/. Address 7 6--- -9( Phone ���� 3 ��
Architect__ e" Phone Engineer Phone
Contractor \ _ Address _ Phone
Lea.>�_Description o Pro ertyyGive corn late description from deed, tax receipt, etc. (g re.� /-S 7i. �J�y�
J (AlC4 'z 7e /Y4_.. 21-4C 1 -6 S ' /_-_--33 O ' c- ..0 7_3,3. r
DESCRIPTION OF WORK:New Addition X Remodel Moving Bldg.Zone / Fire Zone
Size of Lot t5 ----/IC / �` \ Sewage System �P�`r' e Stories o�
Const. � �-r.�Dimensions 2O X / A %� iJ
1Te a1 e Ft. c>77) Valuation / d '—�`
(Frame,&oncrete,brick,etc.) �/ e�' i, �`
Rooms ";1�_ Bath Basement/V W coundation Const. -??.4U CI-r'to Chimney Fireplace
(Full, part, none) (Kind) r/7--1,
(Number)
Heat. Syste r j ' - Type of Roofing it/...rmoir
Ext. Finish, �.L •' Int. Wall Finish e*a`_yl/
Use of Bldg. �Lrh4% it�A ' '' r �` - - `Gc - � No. of Units__Bedrooms -.3"
-
/ r%
9ath Carport Attached O Private Detatched `---
r � y
' o ' PLOT PLAN
`j raw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
{ oposed ;buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
�' ',tem and )tater supply lines. State License N..
- NORTH
��
w1' Ind. Ins. Acct. No.
j2......g.,± .'' i ipi ,
59._
'rvi i REQUIRED
VI Plumbing Permit4/�`i--1,r�
in Heating Permits� '
im ..__ - ------J.' ' / > Sewage Permit
s / �n g
}i t-/-fes.---7 A-e'aG - `- 45" i Plans Received
-Cf.
, I Plans Checked )n/ /'
•v. V ' \ Plans Returned --
1. Plans Picked Up
Plans Mailed
74t
I hereby certify informatio submitted is correct.and,there are no other structures located on this p operty except
as shown. /4w
�- .3/ c/777
�
�.z-'j7 _ L. ..-/ Date
owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOWBETHIS LINE /
Your street address ill be /3 �/ 6 / C7-'-( ` "P be zone is ` '' -. -1-et tet::::-(
Sewage Permit Number Issued Building Perini infi' Receipt , I y Issued4� -s-Z---
Remarks / -
form 523 Bldg. Code
rho n
County
t a
,
is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.
D Fa strict
March 28, 1972
&GoyimFJ1at .�1 E. 4th
Spokane, Washington 99216
p- Proposed Addition to
Reface
Dear .s.
D3 keleyt
According ng to our files the above construction will interfere with
the septic tank and dr.>>nfield sewage disposal arrangement, therefore,
no building permit will be released until our department is notified
(via revised plot,pians and/or sewage permit) of a relocation of
the proposed building or the sewage disposal system.
Your cooperation in this natter -will be appreciated.
Sincerely,
Dennis K. Kroll,• R.S.
'
Environmental Health..e Specialist
Spokane County Health District
DKK/alh
CC* Dulading Code
t-f(-yT IP
i
• E. O.,PLOEGER, M.D., M.P.H., Director �+
North 819 Jefferson Street, Spokane, Washington 99201 Phone (509) FA 6-3330