1972, 03-17 Permit App: J2188 Residence a■......m,
i
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• County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT c4.. 7
GENERAL REQUIREMENTS
PERMIT FEE
PERMIT REQUIRED. A l
tekinand use or sarmit scuired yucslnerect
nstructure
d orr alter any buildingorstructurelreadyereted, ortohangealanduse. Construuionmust conform with h
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 onwater 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 prope:ty 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. \Ch InSP—Tc \t' �� Address �e , r Phone 9 "` IIIri
Architect Phone Engineer 1 Phone
Contractor Address
Phone
Legal Description of Property (Give`` complete descrip,ion from d d,`\t receipt, etc.)
1--0 / 4/ \'- 1�' 'C�\\�C`c e& (}l.( \:c _S " t'% d\ d� �7 � 3 —CJ 3d/
DESCRIPTION OF WORK:New ‘/
Addition
Remodel Moving Bldg.4one / Fire Zone 3.
Size of Lot 'e <l' '1 Sewage System 'SRa,�_i f_ Stories
Const.C.•p0„4�k Dimensions Total Sq. Ft. � � '� 173.51faluation 5a�
i •',,'
(Frame,concrete,brick,etc.)
Rooms 6Baths -t2-- Basement '��\ Foundation Const. C Yrs.C r`'� Chimney &I<�,/ Fireplace
(\Full, part, none) (Kind) (Number) r,
Heat. System__ Ty\� Type of Roofing `rc� Ext. Finish ( lb Int. Wall Finish G'' Stir y
Use of Bldg. ‘') .C..5 t �.IN(-,-`Maio. of Units____I__Bedrooms
•r Carport Attached -� 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.
0NORTH State License No.
:7'#h
Ind. Ins. Acct. No.
0.a
/oQ.a Z
1
3 y' V I-- 141-1 t�
1 1 1`277/ cAr REQUIRED
` Plumbing Permit ���}
In L i I1� /1 ' i on Heating Permit --=�'- e
in _7 0 G
-� �► ' D Sewage Permit , !
y ttt,,,JJJ
..> '' sqlveit 41?
` Plans Received
�o=�,0/ Plans Checked
_ _ _ v.. fr0 Plans Returned
1 - Plans Picked Up
� 4' ' Plans Mailed
SOUTH
_I e2�eby cer y infor, on sutsktf -ted is correct and there are no other structures located on this property except
as s
`-'- diner or Agent Date
A LAND USE OR STRUCTTtRE,,!ERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
( M -74{4:4_c DO NOT WRITE BELOW THIS LINE
Your street address will be /c 7° ) ,,4
Sewage AL The zone is
Permit Number _ Issued Building Permit '
Remarks i Receipt JIssued
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Form 523 Bldg. Code