1972, 01-10 Permit App: J1626 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
PERMIT FEE ..... .._ructure _.....-..... of _._ add
.
.t . building or
PERMIT gEGU1R®. A land use or st[ucture pe[mlt len repaired '] �ouchmResallmd use. erCthe
ovstructiov must confer. with
kind or alter any building or structure already erected,
Spokane County Building Code sad Zoning Ordinance. Contraction is subject to Inspection.
WADER. Water supply must be approved by the COadty a Health
heobtainedhomrtheork nvaer 0,.cctiooffice. isturbs
tb, surface, boulders or ditches of County goods, D
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nan. 45-133 and 47.233rt line, of at
SEI' -RACK FROM PROPERTY LINES. In mast zones and uncle[ most circumstances, a set -back Erre the front probe Y
IeaSt 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 buts a State Highway, clearance out be obtained pertaining to set -back and Ingress
aad egress.
COUNTY ROADS. Work M street right -of -Way may not be Performed until staked by County Road Department and Work out be
Derforme in accordaare with unity or State
stakes. Points of ingress and egress mut be approved by the County Engineer.
MOVING &F' BU ILOINC6. A permit i6 required to move av ¢Iisting building. When s building is moved on a Co
NlghwaY. 'tclearance must be obtained from the County Engineer and/or State Hlghwa9 Department.
ACCE560R4 BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate Permit. the
s ad
which l areVenforree ble thrmah[civiluld check actied. County Officials can not bringinac, of covenants or actionto enforce caveuutstor tledicat ]ons�d
APPLICANT FILL IN BELOW THIS LINE ��
5 J'2 Phone N/ a2
Name of Owner ddreas '
Engineer Phone
Architect_ Phonon¢
Contractor�'(/VYf•Q-- Address —fi--�
Legal Description of Property (givecomplete description deetl, t.Ai [ace iD'. ��n
or6�z--
t •y
RK Bid . Zone TL— Fire Zone 7 -
DESCRIPTION OF WORK: New�GAddition _Remodel _Moving Stories
.30X /30 Sewage System—
S'ae o[��(�l t(Fram�,,�g � y y�D Total Sq. FL Y/ � O Valuation �
Cans Dimensions
Rooms , I-- Baths
brick, etc.l qq ��pp nnNAT.�-�� �- Fireplace
Rooms�Baths�BasemenR�LXY--FonadadOn Const. I' —Chimney tNu be)
(Full, part, none) /r (Kind)
Heat. Syste k yQ.f l�. TYp of Roofing (d- ✓N1 ._ Ext. Finish %-1// Int. Wall Finish
� �� ���t-}� No. of Units—Bedro ms —
Csc of Bldg ,
Cnroge Or ('oTort Attached Private Detetched
PLOT PLAN
Draw sketch with dimensions boming: (1) property lines; (2) street or road locations; (3) location of eseeigeg and
Proposed buildings; (4) illataoce to property Ifnes red streets; (5) dimensions of bOildid98; (6) location of sewage sys-
tem and water supply lines, stave License No.
Ind. Ina. Acc[. Na.
NORTH
e e a zl a� P"
1
REQUIRED I
Plumbing Permit
Healing Permit
Sewage Permity
Place Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. - . , s _0 7
Dimer Or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST Be ON's HE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
-x,, $ 0 DO NOT WRITE BELOW THIS LINE
Tour street address will be 119101 e made is
Sewage Permit Number__ Demand Building Pent Receipt Issued
Remarks 1
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