1971, 04-26 Permit App: I4123 Residence . y
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 Gd
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 17
GENERAL REQUIREMENTS PERMIT FEE J
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 IN BELOW THIS LINE
Name of Owner y.r ..a 4* J 1-!.... Address r d /1 _ _ _'_� Phonek/ =f���
Architect / "Phone Engineer , Phone
Contractor GLyv�� Address Phone
Legal Description of Property (Give complete description from deed, tax re eipt, etc.)
-7 ccf64. 1 33 ; ( . - , ;y = K
DESCRIPTION OF WORK:New C---" Addition Remodel Moving Bldg.Zone / Fire Zone /3
Size of Lo 77 _y / / Sewage System•.- -c- - Stories
Const. Dimensions ,,'75,„r -7(-- /y=6 .r.. �i
2 g, Total Sq. Ft. /3 crZ` u� 7 Va1uationr SZ-Z'•-c,n
(Fram ,concrete,brick, tc.) 7y rife
Ro.ms (� Baths /" - Basement/L Foundation oC nst. - [r^-'ztr-Le --111-e 7-----
0o (Full, part,'none) (Kind) (Number)
He:ii Systeme��-r Z, Type of Roofing,'-< j lr.4l Ext. Finish 7-=/ ✓f Int.Wall Finish - 'Le =aver-/
Use of Bldg. Z.C zc No. of Units / Be rooms-
Garage or Carport Attached "--,� i Private Detatched
0 COPLOT PLAN -,-t�- )-2-q '
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH State Lic se No.
In . I s Ac`t. No.
/ Gr,
-4 REQUIR D
i�C I r;__Ti-.. 7 Plumbing Permi ‹ 4tt'LcL
1 jq; (� /...r.rn Heating Permit .Al
%
— --- - a �WMi'
viSewage Permit
'( Plans Receive.
7 r Plans Check•
Plans Return_:
Plans Picked p
Plans Mailed
SOUTH i
I hereby certify informatiio ubmitted is correct and there are no other structures located on this property except
as shown.r }
J-/I,y iA "/.7,/
Owner or A ent 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 be ' / 1 0 // r-
/ 7 f
1e zone is �'(--Z ��-1
Sewage Permit Number Issued Building Permit '7/1.3 ReceiptL ued
Remarks
1
Form 523 Bldg. Code