1972, 06-19 Permit App: J3443 Residence County of Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT, 0o
GENERAL REQUIREMENTS
PERMIT FEE - co
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 LINEI , t_e_ cl R�j.2J
at/4 i '. •ddress C.. . 4` ig i'7�4--/t.cZ Phone (/1.�A y id 4,..:
Name of Owner -i.�i'`' - - � Phone
Architect Phone Engineer
,� � Address Phone
Contractor aCJ '
Legal Description of Property (Give lete description from deed, tax recei t, etc.) ',"., ,)
I, 0 7` ,..4,K i. C� -wt, £22k4 t a :r
DESCRIPTION OF WORK:New V— Addition Remodel Moving Bicl.Zone I Fire Zone
ifiG' X / / y Sewage System y 1�.�2/U.C°� Stories /
Size of Lot /t-a'i{.YJ _ 2 3A-2O -3(J d OO
Const. Dimensions`� �'t 7 Total Sq.Ft. /7e 2" Valuation �+
(Frame,concrete,brick,etc.)
Rooms Baths Basemen Foundation Const. -{-moi Chimne ireplace
(Kind) (Nu ber)
(Full, part, none) ,^, Cl 0 AL-71-1- IL
���...���111 ,�L Y�Ty!• of Roofing ,�� Ext. Finish .�,L{,/,� Int. Wall Finish
Heat. System j�!
Use of Bldg. .44./..)L. No. of Units Bedrooms
Garage or Carport Attached�1C(i�-� -1� `i�(_�•�
Private Detatched
-`�'"'�'t -
gPLOT 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. State License o.
NORTH aft. /
Ind. Ins. Acct. No.
N :" REQUIRED
Id t Plumbing Permit l'------
ril
m Heating Permit ��
0 ' I N Sewage Permit
-i kl A9-0`1 ----- Plans Received
�J '�'r• n' `� Plans Checked
Plans Returned
igi ' 17 Plans Picked Up
Plans Mailed
7b il44/ /Id Z-
SOUTH
I hereby certify -information submitted is correct and there are no other structures located on this property except
as shown. „/ — C -
z ... - _ . -
Owner or Agent
A LAND USE OR STRUCTURE PERMIT M /ST E ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be j.2,54 3— (-7= ,:25;tk a. - The zone is /(4R-(1.1 4-4.---
Sewage Per •t Number Issued Building Permit/ . Receipt - ____/____Issued
Remarks 4- '/V0.44h 01 ) Z
Form 523 Bldg. Code