1972, 08-15 Permit App: J4073 Residence vcr-,TEZ, unity of Spokane Washington
`, , -;BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
- -:::- -7-----E , APPLICATION FOR LAND USE OR STRUCTURE PERMIT 1/ I0
, GEN1.---LE-CilttirtM E N T S PERMIT FEE
PMT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kin¢ or alter any building or structure already erected, or to change a land use. Construction must conform with the .-
A 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 ., , 99.2/e,
/ C�
Name of Owner _ .! ' `4 . A ... , _Address /0�{'' 1.a •_.[ 1 Phone V' A'4 O r'3I
Architect Ph.ne Engineer Phone
Contractor a44444, Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.).,,l-a 4'_8-.5'9.2 --.1g/to
C, 3 ' 407// -- Ai,1 A.or 7d •- Wis_36 /hp7 j Ag,.s4a -324)8
13k11".. 4 KoK)A10 7o cvAvsi7&
DESCRIPTION OF WORK:New 1/ Addition Remodel Moving B1d .Zone / Fire Zone AS
Size of, pt 89X/�L7' / 4,/ , Sewage System, Stories / 0
<T
Const. iF{2 [ Dimensions <5O.. �U �— .2 X4.It Total Sq.Ft. &a 4. Valuation 34 Or�O -
(Frame,concrete,brick etc.) /} /
Rooms Baths BasemenFoundation Const. ( Chimney Fi eplace
(Full, part, none) /y J (Kind) (Nu ber)
Heat. System F.A • Tf Roo�in 9"4—
F�. Ext. Finish( .d�Gt -4- Int. Wall Finish
Use of Bldg. ype No. of Units Bedrooms 3
Garage or Carport Attached it Private Detatched
2) 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 State License No.
�3 AVE I,,r u-ruz-i-e
/ Ind. Ins. Acct. No.
-----------)
,�G,, PRoP� / .y REQUIRED
Plumbing Permit
en Heating Permit
m
to yo, Sewage Permit
- -i
Plans Received 1-'--'-
Plans Checked
Plans Returned
Plans Picked Up
• Plans Mailed
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LOTH
I hereby certif infor do submitted is correct and there are no other structures located on this property except
as shown.
Owner or Ag Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
6:,1 141::(1, l DO NOT WRITE BELOW THIS LINE
Your street address will be ii3f- C(et1-( r
le zone i• , -d--- .4".
rSewage Permit Number Issued Building Permi i Receipt Y1 �
- / Issued ,..- •
Remarks � sj,�
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