1972, 10-02 Permit App: J4612 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 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 dlstJebs
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 R11/�S. Work on street right-of-way may not be performed until staked by County Road Department and ,work mint be
performed in a'cordance with stakes. Points of ingress and egress must be approved by the County Engineer. '
MOVING OF BUIIAINGS. A permit is required to move an existing building. When a building Is moved on a County orate
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.
j RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedicati
APPLICANT FILL IN BELOW THIS LINE
l %ITV/N:I' cam,/0503—/5 Phone
Name of owner ►r � e . ddress
Architect Phone Engineer Phone
Contractorp,WA_- Address Phone
Legal Description of Property (Give�complete_ de cr tion from deetl tax r cel , etc.)
wpQ -419,1-W .lP> a ez.„,i die 3 a 2c .3 .
DESCRIPTIO ;al
New Addition Remodel Moving B
Size of Lot '� X /e 7 f Sewage System
Const. Fjr.•n,.a Dimensions WA. . b'H [ L Total Sq Ft
(Frae, concret brick, rIck et c.) /� /
Roomy Baths __�_Basemer �D Foundation Const. l' p`•�r--� Chimney Fireplace
--(Full, p none) ``` ��� //Aii1 (Kind) ,,/ (Number)
Heat. System G Y4" Type of Roofing ��qv Ext. Finish Int. Wall Finish //A. 9.9
Use of Bldg. /VVr (VV/C�) 1 s B�e•9/ 3
Fire Zone 3
Stories��
valuaton4/-7'' 3.70 --
(Frame,
m —
3
AQ'�
Garage or C• rport Attached
e� No. of Unit rooms
Gy� PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
Proposed buildings; (9) distance to property lines and streets: (5) dimensions of buildings; (6) location of sewage sys
tem and water supply lines.
Private Detatched
NORTH
m1/4-tt:
-eot
I he
as hown
SOUTH
on s
Stele License/No.
s.
sA-L3
REQUIRE
Plumbing Permi
Heating Permi
Sewage Penn
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
tteis correct and there are no other structures located on this property except
/24 L
Owns or Agen
A LAND USE OR STRUCTURE PERMIT MUST BE
THIS 15 NOT A PERMIT.
Date
THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address rill bej fo ' Y °ij L%I a-44 -Q.. The zone Se(
11
Building Per RecelpMa.
Sewage Permit Number Issued
Remvirks
Pra
form 523 Bldg. Coda
p7.
OLNERAL
EECKLUNO AND WOLLIN I) CONTRACTORS
10303 B. IOTA OPOKANI, WN, 00206 IN, WA4 434S Oe WA4.0714
9t4. Ave. O
38'
,,,-23 _ 0 1 11 3
453 -oi 7 LH Cc K: ids
aa LEGAL:
Cotere4-e
DrwwC
West 4 feat of lot 2 and
all of lots 3 and 4,
Block 3 Sparks Addn.
Cont. WeIK
DRY
WELL
\ti
vat
Cone. JctU 3'
qoo
GA ‘on
ADDRESS:
Scale of drawing:
1/1611 equals 1 foot
k
0
SS'
NEALTy GIST
AUG 16 072
ENV, HEAL.Tl1
. ontr
•sPO. D, HEALTH Dist.