1972, 11-08 Permit App: J4970 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT' a6
_GENERAL REQUIREMENTS PERMIT FEE 37
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of airy
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 47235.
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 enfprge coven-nt / or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner ddress
Architect Phone Engineer
Contractor ,eyLAL_ Address hone 070
Legal D riptti of Property (Give complete description from deed, tax receipt, etc.).f�(J, , .236-4-6_,7-8-<-/-- Q
A/.2 - A.aT / B AA 3 Si, A4474 -6 -1 -t" -SI A17D,
990:6 7
Phone 5 2 2- 5' 41
Phone
DESCRIPTION OF WORK: New Addition Remodel (/ Moving
Size of t /9 1...:3/ )C R/, •1 Sewage System
Const 1,ir1.. Dimensions 27X 44 - S S 3)(14® — M a 7 / Total Sq. Ft
(Frame, concrete, bricetc.) 7
Rooms. Baths / A. Basemenj..441L Foundation Const
(Full, part, none)
Heat. Syste Typ of Reofi g -d" 4 tf..- Ext Finishii 90 71(0.4.4-t4 ' Int. Wall Finish
Use of Bldg. s�{,(�i /r l!�'-`/Y , -` No. of Units Bedrooms 3
Garage or Carport Attached q i>4� Private Detatched
Bldg., one Fire Zone
Stories
aV
Valuation 271000
Chimney at1F'ionreplace
(Kind) n (Number)
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 and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
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I�her certify information submitted is correct and there are no other structures located on this property except
I� as shown. 7
NORM
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State License No.
Ind. Ins, Acct. No.
REQUIRED
Plumbing Permit
en Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
0, ->Q -'1- -2-� 1/-8-7.
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST4E ON THE PREMISES BEFORE CONSTRUCTION
THIS 1S NOT A PERMIT.
15,14.., DO NOT
� WRITE BELOW THIS LINE
Your street address will bee, /114,4 �? p2 ( ,t{_
Sewage Permit Number IssuedBuilding Perm 47U Receipt`.?'% Issued
Remarks Wi e-vri kil—
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The
zone
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COMMENCES.
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Form 523 Bldg. Code _
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