1971, 08-30 Permit App: J0547 Relocate ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 5r
�IS7
77 /d
GENERAL REQUIREMENTS PERMIT FEE..L.2`.LJ ..641
PERMIT REQUIRED. A land we or structure permit is required by County Resolution to erect a building Ot urany
kind or alter any building or struct are already erected, or to change a land use. Constructimpoft conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
RATER. Water supply most be approved by the County and State Health Departments. Where work onwater 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 Re..Julianne Hos. 45-iW and 47235.
SET -BACK FROM PROPERTY LINES. In most zones aotl under most circumstances, a set -beck 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. Wherethe.tructure abuts a State High.", clearance most be obtained pertaining to set -back and ingress
and area..
COUNYT ROADS. work on street right-of-way may not be performed will staked by County Road WWtment and work meat be
performed In accordance with stakes. Point. of ingress and ogre.. meat he approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building 1. 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 me parate permit.
whhiichiare enforce blh throughrclviluaction. County Offffiicials cannot bringdactiontolenforce covenantsior with the land
dedications.
APPLICANT FILL IN BELOW THIS LINE
9,9
Name of Owner Ri // / �.x o ) Address g OO /�. S/g/lD//T� UC Poone u�ra' 6' /O
Contractor
Legal Been
tax
Phone
etc.) » S-;" 4,LR �E
DESCRIPTION OF WORK: New_ Addition —Remodel .vin —Bldg. Zone I FireZone k 3 .
Size of Lot /C/0 X /00 y e TRA/ACStorie4P/
.Sewage
Const. Dimensions
Total Sq. Ft. 450 Valuation f t' UCTt�
(Frame, concrete, brick, etc.)
J /x,14 COiV el7t<T�- ,Q -0L Fireplace
Rooms_ BaNa_LBa_ FaundaUon Const Chimney
(Full,. pact, none) fAi6v (Kind) (Number)
Heat. System <2 S Type Ro[p,Bng C��� /Z� Ezt. Finish C CUi4/l. 5 V 1m, Wall Finish NL:�sT-ETJ
Use of Bldg. //OMS' / %! ./ / No. of Unife _ Bedrooms
Osrege of Carport AttachPriv te Detatehed
` 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 limes and streets; (5) dimensions of buildings; (6) location of sewage eye -
tem and water supply lines.
F
N
N
NORTH
I hereby
ae shown. /! ca��ttify information
- nfo o
441 State Lace""a'
Ind. Ins. "a No.
C� .:x
REQUIRED
7
Plumbing Permit
Heating Permit
Sewage Permit
Plan Received
Plans Checked
Plana Returned
Plane Picked U,
Plans Mailed _
is correct aotl there are no other structures located on this property except
Owner or Agent Date Ir
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tow street
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Ifenp Po 'aX' , ver Issued Building
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