1971, 10-21 Permit App: J1156 ResidenceAPPROVED AS NOTEO
Spokane County. B1 dg. Coin t.
r,-,- MAL /y/ unty of Spokane, Washington
IIN V ODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
by _ _� -r
Irl ICAVON FOR LANA! USE OR STRUCTURE PERMIT
73?
GENERAL REQUIREMENTS PERMIT FEE_________________ __i__�
POurIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or st turn of /e
kind or alter any building or structure already erected, or to change a land use. Construction mus onform with t
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. Nater supply must be approved by the County and State Health Departments. Where work on water connections distut
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
least 25' is required, a 5' side yard, 15' side yard from a Planking street, and a 25' rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway, c''ie ra ance must be obtained pertaining to set -back and ingre
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must
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 Sta
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 Is
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 Owne C-�� �y �-� Address % �� �— .� Z�
_ Phone_ ,a- _
Architect r one Engineer Phone
Contractor Address Phone
Legal escription of Propefjrty (Gipve 'co/mplete deacri tijQ%�Jn� from deed, tqz receipt, etc,) -��S y 3 '" ���
j s
DESCRIPTION OF WORK: New Addition Remodel Moving Bl . Zone _L— Fire Zone
Size of Lot d O Sewage System Stories l
y Dimensions Total Sq. Ft. Valuation /
Fra cpncrete, bric ) /7`
Rooms �j Baths ment Foundation Const. ` i- "" Chimney Fire ace
17, ul part, none) Q (Kind)4Bedr
Number
Heat. Syste Type of Roofing Ext. Finish / ^ �/ Int. Wail Finish
Use of Bldg. -��- – No. of Units ms5
Garage or Carport Attached nom;,, ro nor• r h�a
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing ai
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sy.
tem and water supply lines.
State _ Le No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Plans Picked Up
CJ Date
A LAND SE OR STRUCTURE PE IT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMM .,A.ES�
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be e zo � A
Sewage Permit Number Issued Building Permit 1 SIORRPre nt.% _.