1972, 09-21 Permit App: J4534 Residence . County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 37
PERMIT
REQUIRED.
land
or
tscyucResolution
erect
building
structure
te
kind orr alter any buildingorstrucurealreadyereted, ortohangealanduse. Constructionmust 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 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-RACK 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 IH BELOW THIS LINE
Name of Owner _/. .s ,i____/ i���,�i •ddress , --� •sone
Architect Phone Engineer /1 ..-e---4-4 / / Phone
Contractor M-- ress V.?? Phone `
Legal Des ript on of Proserty Give coo- ,-t,,descript on from deed, tax receist, etc.) \ —`
ice; �..�� .mom
- - c7 3, — 37 d
DESCRIPTION OF WORK:New v Addition Remodel Moving Bldg.Zone --Fire Zone
Size of Lo &O //3 Sewage System _40 �% Stories
Cons #,A/44 ' : mensions 6 X Y `*'" c›2/)( Z 6 Total Sq. Ft. a1♦ 'IA Valuation s f/) o-v-0
(Fra :1,concrete,brick etc.) / 3
Roo Baths Basemen ✓-, // Foundation Const. ��- .--2-=---.Chimney - Fireplace
( ull, part, ,one) <:-,/J / c-'---------7/
(Kind) (Number)
Heat. System �s� '•pe ofRoofing `��/t-�lr xt. FiniJ/h1 Int.Wall Finish
Use of Bldg. � //'-Q�[�( ¢—rt---P_P 2 / 7 ___A C;ir No. of Units -Bed ms
Garage ,.---=-- reort Attached --'( ., - Private Detatched -4
PLOT PLAN
D 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 �
Stat- •ge sys-
tem and water supply lines. / icense N•.
NORTH 1 dQ - • i - 7i s 2_
- Ino. Ins. Acct. No.
t.YREQuI: D
Plumbing Permit
" e
iw Heating Permit
M `�0. ;D ��� ; Sewage Permit
�
^11 V'' /7 Plans Received
4 ' ��� '
I Plans Checked
Plans Returned
40
Plans Picked Up
1 Plans Mailed
SOUTH
he'eby c- tif/information sub. ted is correct and there are no other structures located on this property except
as sh• n. _ �� --
Owner or Agent t Date •
A L ND USE OR STRU IT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
TH SIS NOT AMI .
( V\
i DO NOT WRITE BELOW LINE
Your street address will be O ,e zone
Sewage Permit Number Issued Building Permits Receipt/ Issued _�--
Remarks
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