1972, 10-25 Permit App: J4849 Residence6
6
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LANE! 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 MW
kind or alter any building or structure already erected, or to change a land use. Construction most conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. 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 LINE e; 7
Name of Owner — �� ddreas Phone,( -4 0-7&31
Architect _ Phone Engineer Phone
Contractor Address Phoe
Legal Description of Property (Give complete descriptionfrom deed, tax re ipt, etc / .)
DESCRIPTION OF WORK: New_�Addition Remodel Moving Bldg. Zone _ .L--- Fire Zone j
Size of t ge �f�. a . 1 CJ�[.(���{` Sewage Systems ` Stories �Lz_� p
Const ifAiyri P Dimensions A4-Xs1� 1 # Total Sq. Ft. � �..—
(Frame,
—Valuation �U�
(Frameete, brick,jetc.) n4� i /yl
Rooms Baths � Baseme Foundation Const. �%'L'e�""`� _Chimney Fireplace
(Full, part, none) (Kind) (Numb) r)
Heat. SystemTyp of Roofm Ext. Finish T%�� Int. Wall Finish
Use of Bldg No. of Units Bedrooms
Garnge or Carport Attached Private Detatched.
�yLd PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
(3) location of existing and
(6) location of sewage sys-
tem and water supply lines. State License No.
NORTH
Ind. Ins. Acct. No.
REQUIRED
nig
t
L
Plumbing Permit
in Heating Permit —
Sewage Permit
41
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I h reby certify information submitted is correct and there are no other structures located on this property except
shown / -2
�y
U Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON a HE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 13 NOT A PERMIT.
Your street address will be
Sewage Permit Number
Remarks W.p rf--�-r; a( ,K L
Form 523 Blda. Code
Ia i
Issued
DO NOT WRITE BELOW THIS LIME
Building
The zone is
Receipt 9 & 9-� Issued