1972, 06-16 Permit App: J3406 Residence . County of Spokane Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
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vAPPLICATION 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 civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IFI BELOW THIS LINEA. *7--0 l .
Name of Owner ..5"" 'W •ddress •� �'��_W Ph e OZ-4.. `f /3-----/
Architect Ap4I _ Phone Engineer _ / Phone
Contractor ...e-,.-- Address_ Phone
L•g;:f Description of Property (Giv- cololete description from deed, tax receipt, etc.) Q .S C/ —
(//,, ,_ i - ir):
lac,_ ,...,_____
__ ______ ._
Fire Zone
DESCRIPTION OF WORK:New Addition �JRemo/Jdel �%�', Moving Bldg.Zone li
Size of Lot 7 CI///6 � cJ FJ�c Sewage Systeme . Stories •
/ A -
Const. Dimensions 3 6 (� 0 �- Total Sq. Ft. /c{ Sr() Valuation �_ -_.►�._
(Frame,concrete,brick,etc.) J` T o Fireplace
,� Rooms 7 _Baths 7i Basemen Foundation Const.a-�'�r'-. —Chimney (Number)
/ (Full, part, o� (Kind)
,,,,,-„,,,,,or' -e.."4"1/-77/ — _Int. Wall Finish
I41.%-/--A .4141'
.,+�:'" •m Type of Roofing Ext. Finish -- l
U"of Bldg. k_ _ .__ :fat,_ No. of Units Bedrooms
e Private Detatc .d
Garage or Carport Attached
6 �� PLOT PLAN to.-40 w
Draw sketch with dimensions showing: (1) property lines; (2) street or road to tions; (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.
State License No.
NORTH
Ino. Ins. Acct. No.
ffg REQU D
Plumbing Permit
in Heating Permit
ow
y as Sewage Permit ,.��
—i NJ „q
V Plans Received
/ / / f �7 to � Z _/ Plans Checked
74" if Plans Returned I
3 ef i Plans Picked Up I
Plans Mailed
SOUTH /� �
I hereby certify '. orma� on .ubmitted is correct and there are no other structures located on this property except
as shown. //6/7
/ I ner Y Agent Date
A it, USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
IYour street address will be / v Ge-�� .e zone is ✓. ��/—
Sewage Permit Number Issued ssued
Building Permit Receip --� —
Remarks` _ i _ _ a - �:'
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,I.* ..__,_' _ lira li/{l -
Form 523 Bldg. Code1.
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