1971, 06-29 Permit App: I4902 Addition9
9
County of Spokeines'Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON "201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT/
GENERAL REQUIREMENTS
PERMIT FEE..... --_....--- ---------
PERM IT
---.---PP.gMIT 118QUIRED. A land use ar structure permit is required by County Res ofution touse.
elects building or structure of any
or kindnoorCou ItyreuildbuildingChe evtl Zooing are
alreace.erectedConstructionaisbseb)ectltodlnspect ion.
construction most conform With the
g any
Spo
Ots WATER. he Macer shoulders be approved
ed Couthe nty Roane and State Healthn must beaobtafned fromrtheoCounty Enginerk on,ster er's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nam. 45433 and 47235. of et
SETBACK FROM PROPERTY LINES. In most zones and antler most circumstances, a senna aac25' resom trhyard areront required.
lesst 25' is required, a 5' aide yard, 15' side yard from s flanking street,
STATE HIGHWAYS. Where thestructure abuts a State Highway, clearance must be obtained pertaining to set -beck and ingress
and egress.tment and work must he
COUNTY ROADS. work on street right-of-waY say not be performed until staked by County Road Department
performed in accordance with stakes. Points of ingress and egress most be approved by the County Engineer.
MOVING OF BUILDINGS. A permit I. required to move an eristing building. When a building is moved on a County or State
Highway, clearance net be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate Permit.
whichiareVenforrce ble throughrcivilnaction. Countya Officials cannot bringdactionntoaenforcemcovemnntsfor detlicat ionsnd
APPLICANT FILL IN BELOW THIS LINE 99adb
Name of Owner
FOB ineer
Contractor
Legal, Desqription of
receipt, etc.
Phone lµ A (7_, 95.7
Phone
DESCRIPTION OF WORK: New Addition _Remodel _Moving _Bldg. Zone Fire Zone 3
Size of Lo n n Sewage System Stories
Const. Dimensions /O X s" Total Sq. Ft. -2-212 Valuation
�) Od
(Frame, concrete, brink, etc.) -{h q//
Rooms Baths —Basement -Foundation Const. P,AOA 'i- .iArwf- Chimney Fireplace _
(Full, par[, Wane) lKind) (Number)
Heat. System U —Type of Roofing Ext. Finish Int. Wall Finish
Use of Bldg. No. o[ Units _Bedrooms
Garage or Carport Attached Private Detotched
PLOT PLAN
Drax sketch with dimensions showing: (1)Property lives; (2) street or road locations; (3) location of eristing and
proposed buildings; (4) distance to property lines end streets; (5) dimensions of buildings; (6) location of sewage eye -
tem and water supply lives. $tate License No.
NORTH
too. In.. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Recelved
Plans Checked=-----[
Plans Returned
Plans Picked Up
Plans Malled
I hereby a rfy ivfor tion submitted is correct and there are no other structures located on this property except
es ahavv. � t � _� 9_
_ YI
Ow or Agent Data
A LAND USE OR 5 UCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
ffii DO NOT WRITE BELOW THIS LINE
Your street address will be (,,,7 Z� 1/ o r%' 'rna zone is
Sewage Permit Numne[__ Issued
Building Permit gecelpt-�tss.ad 6-aq_
Remarks