1971, 04-19 Permit App: I4042 Residence r
County of Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT vx
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 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 BELOWOTHIS LINE C,�r ,d Z
Name of Owner
9Cril ( ddress _�yL�LS �� Phone 7 --Li/ yC�-.
Architect Phone Engineer / Phone /
Contractor Address Phone —
1 Description of operty (Give complete description from deed, tax receipt e c.) / 541 3 —0 3 /1
�.6--kl & - ��z� ( - �&Lg_, ' Gter_ UU
DESCRIPTION OF WORK:New Addition Remodel Moving Bldg.Zone ( Fire Zone 3
Size of L .....71 �> / 10 1 //C) " ( ( Sewage System _. Stories
Const. Dimensions A'() `� )- - '/1 )-1 7L r Total Sq. Ft. �- 3 Valuation 9� J
(Frame,concrete,brick,etc.) Z /A .- ., /
Rooms 7 Baths Basement Foundation Const. / _./... �.. Chimney Fireplace
(Full, part, none) P (Kind) (Numbe )
Heat. System Type of Roofing Ext. Finish . .���" Int. Wall Finish a�7/
Use of Bldg. i G� No. of Units Bedrooms 3
Garage or Carport Attach Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
&nposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
em and water supply lines.
NORTH St Licen e No.
Ind In . ct. No.
f (Y :_?r REQUI,„
Plumbing Permit - ay
m
m Heating Permit �- - /
u N Sewage Permit —i _._ . ; AL;
Plans Received
Plans Checked
Plans Returned -
Plans Picked Up Alt
Plans Mailed
SOUTH
I he -: ertify is : ii. _12a_s.ubmitted is correct and ther- are no other structures located on this property except
s shod.
Owner or Agent Date
A LAND USE OR S':- TURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW�TH�ILS. LINE
Your street address will be _ - a l-� 'e zone is 5-111 ';, ai v
Sewage Permit Number Issued Building PermitReceipt Is/ed
Remarks ,1 cie y
Form 523 Bldg. Code
1 •
--_..........._„_4,.L.
r e
----
----____--4---------
_
(
(t-----— - ...._...... '
C
I -- — -......--.-_____S-.:"',./ ______ ),
s*C)
.0"---n?'''' •-....i
-,..,...,.------- .----e-..A•.::::,...__ ......_ ....____._.-.. -.......--,-. /a C :'''' '''' -
:, 3 d...-,C../7/<7.3 77— 1
1
i e
1.,,,.
) LO
1:3
\ "I
• / '• t...-,-..i_ -
IA' .,,, - - .' 0
I ... ".---
*1
I "•i'::'
:•,,) • _________________ _______________ t
I
1
I ' -7,-,-r_.•:-.1--e.-; ---- .....'., I
1
i - /
__
... .JV ___ .,i.4
, er,„:(,-t, /I
•
. . I
..1 I
. . ..
, '01
11 .
•0 . .
-----....... • ...k _ tvIl .
I ,
__.......
-----___
--._. ,..
--........_....._
_ ....._
............ ... ....
__-- _.__ . -
.. ... , , ,.-......... --____ c
,,..
(
- _... ,..
i ,^
-__(-/
,, . .X :// / '? i 55341 8
i'',•...11 WEST SECURITIES CO
/
-1 825 RIVERSIDE
ONLY
•, POKAINIZI WASH 31
• .
of ... .... . . _
, - .- ---.—
X7
i-- .,--2,.
1.-,--1 , , ( 1
/ ,,y (._/<,:..,
.c)// -.1-7•L Al 4:- Cc ( , ,, .: - , /
. ,
) ,•,) ,,,) ,,, ./._---,. : , _
. .
, .
- _
. ,‹......,,, ,....
---....„,
-------,......
---.......
___.