1972, 10-24 Permit App: J4856 MHCounty of Spokane, Washington
v
bol BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 49401
VVI/ APPLICATION FOR LAND USE OR STRUCTURE PERMIT /
G N RAL REQUIREMENTS PERMIT FEE_..._(,Q____........
FEIIMIT REQUIRED. A land use or structure permit Is required by County Resolution to erect a building or structure of any
klod or alter any building or structure already erected, or to Change . land use. c..tructfoq most chat - with the
Spokane County Building Code sad Zoning Ordinance. Construction is subject to Inspection.
WATER. Water supply must be approved by the County andstate Health Departments. Where work onwater connections disturbs
the surface, shoulders or ditches of County Roads, permisslon net be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Now. 45-133 and 44235.
SET -BACK FROM PROPERTY LINES. In most zones and moiler most circumstances, a set -back frac 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. Rhere the structure abuts a State Highway, clearance ..at be obtained pertaioi.g to set -back and ingress
and egress.
COUNTY ROADS. Work on street right-cf-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 he approved by the Comity Engiurr.
MOVING OF BUILDINGS. A permit Is required to move so existing building. When a building I. moved on a County or State
Highway, clearance must be obtained from the County Engineer and/or State Hlgbw" Department.
ACCESSORY BUILDINGS. Accessory buildings (garages. sheds, etc.) require a separate permit.
RFBTRICTIW COVENANTS. Builders should check provisions of covenants or dedications and easemeats rumin6 with the lead
Which are enforceable through civil action. County Officials car: not bring action to enforce cpvevants or dad lest loos.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner/ V V1 Aggress - -- - --'
Architect--------ffff����---- Phone Fhg sneer. le 9 �O �� Phone
Contractor Address .- phone
Legal D�cr iDt ion omf Props (Give complete cri�'t-hn Yrom dnetl, tn: —r. slut, etc.) �y
DESCRIPTION OF WORK: New Addition_ Remodel Moving — Bldg. Zone Fire Zone J—
Size of Lot -- Sewage System Stories 5?-2�Q
Con imensions y Q Total Sq. Ft. �Valuetiort
IIS ram onOOcrete, brick, ctrl n / p
az
Rooms_�t Baths BesemenE-�1� Foundation Const <-T✓L-/AO��p /K Chimney Fireplace -�
( wall. part, none) n (Kind) (Numb
'Fleet. System Type of Roofing - Z // Eat. Finish �`� Int. Wall Finish
p
Use of Bitlg. �/[ % � / n "'- No, of Units --/— Bedrooms
Ger it Atmched � -moi Primer Deter h,
/j PLOT PLAN
(/ few uiltl ingscb ph(9 )miensionsd lstancesh.towproperty 1lnesraedlstreete2)(5)reet tl amens ioadof Du iltl lugs; (36)location
ead
oratin ofesewage geye-
m and water supply lines. Sts Lice
661 NORTH
fro = n Ina t`Ns.
m {1•
REQUIR
E
D
Plumbing Peemlt'�4
as Heating Permit
Sewage Permit
ti
PlansReceived
Plans Checked
Plans Returnedan
plus Picked Upan
Plus
Mailed
ereb certify .forma�t'ionnssy�mitted correct and there are no other structures located on this /property except
as sh .. Cl��%�-
Giner' or Agent Date
1 USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
NOT A PERMIT.
00 NOT WRITE BELOW THIS
You street address •311 bwtr,i W Yo 1 the zoo. I-
Sewage Por t Nueber�� Issued Building it Receipt 9 ! -2 7 Issued
ReWarke
fo.m 523 Bids. Code