1971, 10-15 Permit App: J1016 Residence w
,,,-:, N O E D D
. Lept. . -
•
e .-/q- 7/ County of Spokane, Wczilngt4
( -i �� BUILDING .CODES DEPARTMENT. COURTHOUSE, SPO .A E, WA IINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 2� .�""
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of ally
kind or alter any building or structure already erected, or to change a land use. Construction most 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 4'7.235.
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 IH BELOW THIS LIRE J
Name of Owner R( L. (k4�a-me _Address Address P kill-9� P Phone --4-l�-1 t`
Architect Dow, )Nv�%< .. Phone(A)w-41-PTLI Engineer __ Phone
Contractoi us5- Vk ,.,., k4AS'ik-x..1-1 U . Address klt'I-q Auc__ tt Phone VC-`i' GG`11
er
Legal Description of Propt (Give complete^description from deed, tax receipt, etc.) t.-O Tig-t t `1 2O 'I 2/
--- C_4. , 4e't ct.-Zoe�.s t rn i, TLO 1. 5\10v-A-,-.,E__ c F..ar I'? .
- ,,R4-,--,3 3— 4 fid_G — -- -
DESCRIPTION OF WORK:New X Addition Remodel Moving Bldg.Zone / Fire Zone a
f
Size of Lot.`�l1 C X 13 S _
Se a Systeerr. �C(la�a`+ `� rt Stories � .
Const. ' 2i - Dimensions 1 O Ss w.va C-141W(.�. z%o . FtSPfl , 9„.0e, Valuation 3 tom•)flr:
(Frame,con rete,brick,etc.) �•,�-‘+A cu:. V 3.S-e S�
Rooms Baths Basement txi ,Foundation Const. �� z...Cti Chimney �� Fireplace 73
(Full, part one) jJ t� (Kind) (Number)
Heat. System Ctt4S Type of Roofing `ba ,,-,�.n.uu Ext. Finish/S}ZtiCrt Int. Wall Finish)R-yL_3�. +=
Use of Bldg. __.;' _ -_0 _ -die. ,,_ No. of Units 1 Bedrooms i{
Garage Attached
Private. Detatched
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 I State License No.
r 1_23 -O-4... -33 '1 k 1.d1z.
\,q4,
Ins. Acct. No.
i ii
q ' REQUIRED
IG o 7
Plumbing Permit
1 J
1 an Heating Permit
4^ id) Sewage Permit
G '
M •-.. -1
V. Plans Received
—1 11:•• Plans Checked
.,,, Plans Returned
_ M
IA/474 — — — /00f! — — —^ Plans Picked Up
/Z - Ave,— — Plans Mailed
SOUTH
I c tify inf d o / bmitted is correct and there are no other structures located on this property except
as sh
_ ,),, i..4.--1...-cak_ - l'14,-,-4------- kr( kk'S 1 ‘
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFOR5, CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LIFE
// _�
Your street address will tie(!?
lA (� The zone is — 6( �/ 'f
Sewage Permit Number Issued Building Permit 016 Receipt,36,,j Issued
Remarks