1972, 09-08 Permit App: J4321 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT a�a_c)
GENERAL REQUIREMENTS PERMIT FEE
INIT 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.
WATER. 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 Nos. 45-133 and 47.235.
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. Points of ingress and 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 must be obtained from the County Engineer 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 dedications 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 n 99.2-dg
Name of owner i .4' ,-../
.. OFi. . <<�4 , ddress Z/- ,E, AluclO..iF-rl-a-OZ.. Phone H 1 9-4 Q- O
Architect Phone Engineer Phone
LLQ
Contractor gea7 ,,, Address hone
Legal Description of Property (Give com), desc i tion from d, x rece'pt etc.).A -C ( . &'9�3'1-/3D 4.
L..07
DESCRIPTION OF WORK:New Addition Remodel Moving Bld•1 Zone Fire Zon• Ar
Size of Lot �Q X /8,6- Sewage Syste tr.:4 -4
. - Stone
Const. JDimensions gJ x� ' Total Sq. Ft. �f Valuation 2
r. id.
(Frame,concrete,brisit,etc.)� Y ` ��/
Rooms V Baths Basement r Foundation Const. /Wit( Chimney iLk�_-Fireplace a
``,, (Full, part, none) ri
(Kind) (Nu r)
Heat. System-�. ype of Roofing YWf7 Ext. Finish �r Int. Wall Finish
Use of Bldg. 0.4 No. of Units Bedrooms g
Garage or Carport Attached 6 brtAy Private [)et,ilched
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.
INORT1 State License No.
// 4,4)-(._ T O
kInd. Ins. Acct. No.
al
aq� REQUIRED
Ac,�+ Plumbing Permit r
* s
m
�+ IF
Heating Permit
V.
N in Sewage Permit - A_A
- 1 /
Plans Received
Plans Checked
Pd Plans Returned
Plans Picked Up
\l/ Plans Mailed
SOUTH
I hereby cer rfy information submitted is correct and there are no other s rufct res located on this property except
as shown.
I.
Qie
•.IIe''r''vvor •gent
Date
A LAND USE OR STRUC RE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. i
THIS IS NOT A PERMIT.
'..,. DO NOT WRITE BELOW THIS LINE
Your street address will be 7 J /f ui L • 'e zone isG�4 6tcet -iea. -
Sewage Permit Numbe Issued Building Permit , ,�/3, /Receipt 0)02/{9 Issued
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Fonn 523 Bldg. Code
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