1972, 07-31 Permit App: J3942 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHbUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
a4—
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.
PATER. 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 N. 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. Paints of ingress and egress must be approved by the County Engineer.
MOVING OP 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 Eegineer 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 dedicat ions 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 IN BELOW THIS LINE
Name of ownergv e IcL. r.., a� ^ 4i ntf I RI Address t • I or03 / phone GI ff 5t —V -fl
Architect Phone Engineer
% Phone
Address Phone,//
Legal DeseriDtion of Property ve complete desert tion from deed, -1 receipt, etc. /IIt.Ct ?5 -73 d I0T
/
DESCRIPTION OF WORK' New -.0".....-'Addition Remodel Moving Bldg. Zope 1Fire Zone 3
mcmSIG Pi nk Stories
Size ocipot 47,4 PC 17 7.7
Const, Me— Dimensions 2 L X
(Frame, concrete, brick, etc.)
Rooms Baths 1— Basement Foundation Const.
. n (Full, part, none)
Heat. Systenfi /} FAType of Roofings-�t`r+�'✓�
Use MBldg. .ei1��NG
Garage or Carport Attached
Sewage Syste
-
/'} Total Sq Ft. �n�d j valuation /9,, Oon
CB'Yt� Chimneyh Fireplace nefliwa-
/1/Y' Yf / an Find) (Number)
�
Ext. Finis / M Int. Wall Finish .Bedro�.81i41(
No. of Units Bedro ma
PrivatDet tched
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.
NORTH
SQA QL4. FM non --
I hereby
as shown. -
Al •
11/ Owner or Agent
SOUTH
fy informatio• - .witted
s
.4
correct and there are no other
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BE
THIS 1S HOT A PERMIT.
•
1114
RECONSTRUCTION COMMENCES. �f
Da
State License No.
O7
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ctu -s located on this property except
wit
DO NOT WRITE EELOW THIS LINE
Tour street address will be C., &.SO'S 9.d_✓ i
Sewage Permit Number Issued
Remarks
e zone 1
Building Perm elpt 24 R 9 Issued
Form 523 Bldg. Code
ECKLUND AND WOLLSN
GENERAL
CONTRACTORS
10503 E. 15TH SPOKANE, WASHINGTON 99206 TELEPHONE WA 4 4343 OR WA 4-0714
9Wi1
Le`q pl. :
Lot S
Block oNE
5g mons Aciaro,
�S' -SS? 107
Scale ib = / Foot
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