1971, 10-06 Permit App: I0896 Residence •
County of Spokane, WaskIngton
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 0
GENERAL REQUIREMENTS PERMIT FEE ..2af
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 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 IFI BELOW THIS LINE %":2 5:',
Name of Ownera ZG 4 1- / Address /0_5-0 3 - Phone U'll' 7 ----5/3V..3
Architect_ Phone Engineer_ Phone
Contractor Address _ ___ —
Phone
Legal escript on 4, Pro.erty (Give complete scri tions from ee., to receipt, etc.)
4 _ „,___,,,,ti_d_ 1‘.,:v...t."4„4...oL... ,f/ 77-ee.‹...t."-
/'
Of_ _ a 0.4 . r _ C7,' 7 1 " - /--/—‘,1,44----
DESCRIPTION OF WORK:Ne V Addition Remodel MovingEl ,, one Fire Zone 3
�o r
Size of Lot 7 3; l� [! yy��� ( __Sewage System
�++ ''``rte �--‘ Stor' s /
Const. Dimensions "T'E� Total Sq. Ft. /0� Valuation � � pow
(Frame,concrete,brick,etc.)
Rooms_Baths ( Basement —Foundation Const. C1 Chimney Fireplace •'•"*"---
(Full, part, none) _� �1 / (Kind) (Numbe�
Heat. System14—F7/� ._Typ75 e of Roofing cQ�� Li^'�ar�F xt. Finish t.-Y _ Int. Wall Finish � `�
Use of Bldg. .-4-co-r...c_it--- I Bed ooms 3
—__.__ _____ .-- __-No. of Units
Garage or Carport Attached Won(e- Private Detatched
PLOT PLAN
1' Dr sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
3ed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH 111
ate
dI -77-Cc t. No.
REQU •ED
Plumbing Permit !!
m -7
.".. ---1------.
m Heating Permit `J
t^ 'Of ,. /37,�L Sewage Permit ,
33, ) .,� �'�" ,_
.A4' Plans Received e
Plans Checked / _
Plans Returned
44?-5 Ok Plans P'
Plans Mailed
, +1, SOUTH
•
I hereby ca t inf., mat'. 'submit •. is correct and there are no other structures located on this property except
sown. 1 ; i f{ 6/2
it
.41
1 Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFOR!t CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NO WRITE BELOW THIS LIVE
•Your street address will be / 13 1 q :,:l.,...41,� t...,. # ,'. ',, - The zone is r'
Sewage Permit Number Issued Building Permit\ Receipt ,I i I d
Remarks _
U
Form 523 BIdo_ Cnd,,