1971, 06-18 Permit App: J4782 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 9920
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 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.
s
nd
ents
whichlarevenfoVrce enforceable throughrs civiluld check action. Countysions of Officialsocanants or not bringdactionntoaenforcemc covenants with the land
dedications.
APPLICANT FILL IN BELOW THIS LINE np
Name of Owner .� ui .. , (� w.. I ..... ddress J. D (o r- I F. O a ILA W adA Phone %A] A y •.� (o X, 0
ArchitectA sm) Phone 4 Engineer -n d �,V,,,, �pp,,hone
Contractor 1,l) Address 1 a(n r tI E.. Mill aaal � ,',�"-Phon,e�/-LJ',f ILDS `a-Q(n.5Q5
Legal Description��poperty (Give com Tete description from deed, tax receipt, etc.) Kent; aX� (2.Psn /U 1
-%4f1A.ft:lJ1 �.+�.u.Pr. s? f) TV f - //lI
DESCRIPTION OF WORK: New Addition
Size of Lot g 1 / X ( ?n
/
Const?l)Mr'J_.' Dimensions A 4 /` 41) /
Remodel
Moving
Sewage Sys
Total Sq. F
(Frame, concrete, brick, etc.)
Rooms Baths a Basement Foundation Const.
pa,, Full, part, none)
Heat. System aie12• • 1� • Type of Roofing Cnvn
Use of Bldg. p,o-t.r%.on.ry J V
BI g. Zone
l
Ext Finish W V b -t,
Chimney
Fire Zone
Stories 1 Ya
Valuation 1 Rif (i7TO
Fireplace
(Kind) (Nu ber)
Int. Wall Finish �✓i Q
No of Units ) Bedrooms 3
arage 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
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
em and water supply lines.
NORTH lc -
/30/
9
9 )
31/
1'
J5
4
4101
a4
SIA
130'
m
State License No.
,,U5 -0/-9070
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permi
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. Q •
leU qp • 1g 1971
�ner or Agent V Dat
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS I5 NOT A PERMIT.
1h5 (-i/ DO NOT 9, --
BELOW THIS LINE
Your street address will be II�%-O� 6
Sewage Permit Number Iss ed _,gyp/
Remarks (} 4( AJ
Buildi
Permit
e zone is
Receipt
UUiM
og
a
Form 523 Bldg. Code