1972, 08-03 Permit App: J4005 Residencet
County of Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON "20
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 47235.
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
Nam of Owner C E o _-Address Phone
%BC��- ��� �vER �/�r✓�: L �32 1
Ar, Phone Engineer Phone
Contractor ,fC 9,_ao 6c4�,r CV. Address -4 yQU-6 deMVEA ��057 PhonefyyA. - 32
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
E SAS r 42 L0`_ OF LdT e% aal) %NEr 1A2(-0rr �Ol(v /N �L.oGrC3U v
DESCRIPTION OF WORK: New _ Addition Remodel Moving Bldg. Zone Fire Zone 3
Size of Lot �r O� �� Sewage System 7� Af-VA Stories
Const. ✓' Dimensions Total Sq. Ft. Valuation
(Fram , concrete, brick, etc.)
Rooms. Baths _ Basement. r Foundation Const. <„A7 646725 Chimney 44-L.- Fireplace %
(Full, part, n nb e) (Kind)�" (Number)
Heat. System Type of Roofing 0, Ext. Finish DOD Int. Wall Finish ,!f 4 A4L.
Use of Bldg.�/� 1F5 412a t� P,,, /A;�Y-/�Gf,/ y7 A.�LAffd No. of Units _/—Bedrooms _
t�vG
PLOT PLAN T 7
6,00srIed
w sketch with dimensions showing: (1) property lines; (2) street cations; (3) location of existing and
buildings; (4) distance to property lines and streets; (5) dim nsions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
SOUTH
State License No.
-9-3-3 -0/- 941V
Ind. Ins. Acct. No.
511340
REQUIRED
Plumbing Permit 661LSom
m Heating Permit 2 ��
a Sewage Permit /-) z' ,
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby cerinfg-rma u_st},bmitted-is correct and there are no other structures located on this property except
as
ore t / Date
P ALA SE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES
T IS NOT A PERMIT.
All, 7R4acz DO NOT WRITE BELOW THIS LINE
I / -
Your street address will be D t L'/EU�F The zone is
Sewage Permit Number Issued _ Building Permit receipt ssued
Remar
Form 523 Bldg. Code
i
20
50
AVE
VI/FST 42
F EA -T