1971, 03-10 Permit App: I3640 Residence i
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 3 7 CA)
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 mast 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� I �( // [�
Name of Owner_,L�9 P,g� (1M )I, -TT; - Address l' N. (.i/7i 1/e,QSJ✓phone lx)X- /.1--(>7)/
Architect . ./ Phone Engineer A/ // /Phone L
Contractor4.-Piae-N �6`J� � Address / � `v //ni "ei � y Phone �/Q'7 —d77/
Le al Description of Property (Give complete description from deed, tax receipt, etc.) /
ia ' U` ./ai-a a// o -r /64' 3 the . ai ' o o
f�� cKt./td v 7o w ri :`7'1e— 2p)
DESCRIPTION OF WORK:New Addition Remodel Moving Bldg.Zone Fire Zone
Size of Lot 73y ' A I 30 ' X 3 '1 0 X LSO Sewage System.Sfp?7 Stories /4
Const.' R�'I'17 L Dimensions 65 X as, Total Sq.Ft. /7 7� Valuation a7 950.
(Frame,concrete,brick, tc.) n
Rooms h Baths /449 Basement-( _Foundation Const. 0-0 1(,i EYE_ Chimney _ L Fireplace cq
(Full, part, none) c[ i (Kind) G (Nui
Heat. System G-A-S Type of oofing / SA AV K l' Ext. Finish 0 a C7 Int.Wall Finish p • ,
Use of Bldg. i-I U j r es 1 d e A)G/ . No. of Units I Bedrooms 3
Garage or Carport Attached �'R�4� P AQ-,h E-d Private Detatched
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. a '
N O RT H , State License No.
Id 4/ I Ind. Ins. Acct. No.
�
6)j
REQUIRED
I Vaa�
+ 11 I , i Plumbing Permit
t (Ct 1 8" 1 � `� m Heating Permit
(1:11A k ( in Sewage Permit
iI Plans Received
41
Plans Checked
1 Plans Returned
Va Plans Picked Up
IPlans Mailed
SOMI
I hereby certify i form i submitted is correct and there are no other structures located on this property except
as show (y
/ 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 TH S LINE
Your street address will be / ( c S The zone is
Sewage Permit NumberIssued Building Permit 35/16 .)Receipt,g/�
sued
Remarks (�
Form 523 Bldg. Code