1971, 01-18 Permit App: I3305 Addition 6 61)
County of Spokane, Washington .'
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 994013 3
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERMIT 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 c' 1 action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE - AO --" `7„_J e/--
1
Name of Owne /G Address //4 Z Z — /L/ Phone Za `I--d 1/
Architect ', Phone Engineer -Yvls 151 �Q hone
Contracto�� Address 1 )) Y* { -- .S''� �^^'`1 hone
Legal Description of Property (Give complete de cription from deed, tax receipt, etc,) ‘
DESCRIPTION OF WORK:New C/ Addition I- Remodel Moving Bldg.Zone / Fire Zone '3
Size of Lot ( a -tf --"•.,„, Sewage System Stori•-' �� ,,
Const. • I' ensions Y9 `/ Total Sq. Ft. � 9(eValuation I�E1 J
(Frame,co rete,brick,etc.) `
Rooms Baths Basement Foundation Const.a1 --f -e- Chimney Fireplace - -`'2
f{� [/ yll •art, none) _ (Kind) (Number)
Heat. System/4(� 'T I' �"ype of Roofing "' /A Ext. FinishTY1G--4Int. Wall Finish
Use of Bldg. _ _.,.' _ �, — _�. —'-� -f - / " No. of Units Bedrooms
ige or Carport Attached !_ ��/_ / ---- Private Detatched
PLOT PLA 4-..... 1
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing nd
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage ys-
tern and water supply lines.
NORTH (� ' State License No.
1:
q -,4aS1 _' 3O t Ind. Ins. Acct. No.
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1 411 fd-- cot--\ --�—` �7 REQUIRED
• Y�'C1 ' Plumbing Permit A--fi t'``--c ihi
NI
m Heating PermiZ--Q'tit '`'`-t-
^+ D
NN Sewage Permit
t 0Plans Received /1 /7/
Plans Checked
\`f�.. Plans Returned
Plans Picked Up
Plans Mailed
V
SOUTH •
I hereby �rt,Ify informatio it is correct and there are no other structures located on this property except
as shown. //
Orr e-A ``-.2 /--/C. ' 2
Owner or Agent Date
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
Your street address will b /00_2_2_ — -/44 Z‘ zone is (-2-'
'IL.-' 7�Sewage Permit Number Issued Building Permit ,3 33 Receiptsued
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Remarks
Form 523 Bldg. Code
1
CALL 455-3675
All plywood used structurally shall meet the
pefiormance stark '; and all 7t rr rluirements ,.._.._ 76,,,f4....„47,1„---,458,y.--
All
of applicable U.S. r'rrniFr-?al Stan:'girds for •hei
type, grade and ,ves.i�; of plywood and shall tie
so identified by an approved testing aeenrv. �> /-/-1--'( / 1/ " ,
,- d----./
APPROVED AS NOTED
,r
Spokane County Bldg. Code Dept �,
E
Date '77 3 ,��n J
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