1972, 08-09 Permit App: J4056 Relocate ResidenceCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT o0
GENERAL REQUIREMENTS PERMIT FEE -------
PERMIT REQUIRED. A land use or structure permit its required by County Resolution to erect a building or structure of W
kind or alter any building or structure already erected, or to change a land use. Construction -net conform with the
Spokane County Building Code and Eonlvg Ordinance. Construction is subject to its Pectiov.
the surfacers ouldersm orb ditches of County Road-, roved by the apermissionHealth
east be obtainedartments ' froomrthework
county &gim�est office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Now. 45-13381H147235
SET -BACK PROM PROPERTY LINES. 1. mast zones and order ..at circumstances, a set-bac2,frow, the fr1 rear Yardont
property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, e
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and Ingress
sad agree..
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Depertmept and work must he
performed In accordance with stakes. Point. of ingress antl egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building Is moved on a County or State
Highway, clearance net be obtained from the County Engineer and/or State Ntghwey Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, shed., etc.) require a separate permit.
ir with the s�wchVercle Builders
ivakosdedications
aercMsors I= otledteatior
whlare nfoe throughcivinotioCounty officials can not bringactiontonfoe"Tempts
APPLICANT FILL IN BELOW THIS LINE
Name of ownerAddress phone R/ 7-7SU3
Contractor rfyy(,Q-, Aaaresa
Legal Descriptigp of Property (Give completf dA cription from deed, tax receipt, etc.
—.
DESCRIPTION OF WORK: New_ Addition _ Remodel _ Moving _ Bldg. ne Fire 2one3_
Size d��ft� �70'y q, Sewage System . Stories
Corel. ^ '( Dimersim. �7N3-3' Total Sq.Fl. i/9/ Valuation .3�OOIQ GGGLLLLYY�
(Frame, concrete, brick, etc.)
Rooms Baths BasemeR!'^^+� Foundation Const t Chimney Fireplace 1--
(Fall, part, none), / 1 �' (Kind) (Number)
Heat Syste of Roor1fing CExt Finish-�'rttiWK nt• Wall Firdsh 6 Use of Bldg if.twuy% d / /1/ �..f ISL _ No. of Units�roame_
Garage or Carport Attached Private Detatehed
0 PLOT PLAN
Draw sketch with dimensions showing: (1) property linea; (3) street or road lodatovw; (3) location of existing and
peopomed buildings; (4) distance to property lines antl street.; (5) dimensions of buildings; (B) location of sewage aye -
ten and water supply lines. N
I hereby
as shwa. .
A LAND USE OR STRUCTURE
THIS IS NOT A PERMIT.
NORTH
�t
Time street address will be /J6/
Sewage Permit Number Issued
Remarks l
state License N.
ind. Ina. Acct. Ne.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Places Becelved
Plans Checked,
Plans Returned
Plans Picked U]
Plans Mailed _
is correct and there are vo other structures located on this property except
% Date
MUST EE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE p0
(� /47 TH !•p VLA n -1&2Tbe sone S�jLt,,l^.rL V.A.�.SL9i.DA.
Building Permit Receipt g!3772 Issued
r..... te" n— r -n. / �7-Y - . I / III A .. . I yiN .-I -I , -.L.i. Y,.. 1 -1-1 1