1972, 08-10 Permit App: J4036 Residence Q
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 4/: 7 a c_
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 BELOW THIS LINE
Name of Owner . # i. ' Address S . 1 i SO e Phone IA/4 6-q,SL/
Architect -. Phone Engineer Phone
Contractor 1 .as..-�, Address 'b^..2-- , hone '-'2:1---b---•--31`--)
Legal Description o Proper • (Give complete descriy,Von from deed, tax receist, etc.) ` ' . .7,-5-- ..'_ -el kJ-5-
LO T-
'C-'S! c7^
2. 1.4.1 /.....v,..___
DESCRIPTION OF WORK:New X Addition Remodel Moving Bldg.Zone / Fire Zone
Size of Lot 1M X 1 23- Sewage System_��.-'L) Stories
Const.rile_ Dimensions )k'll--, Total Sq. Ft. 1 02*L Valuationf 21000
(Frame,co rete,brick,etc.) ° `r ..?-34._..?-34._ (��
Rooms Baths I Basement Foundation Const. ,""'x �l Rg'l nney "L-Fireplace '`-•�-
(Full, part, none) T! (Kind) (Numb
Heat. System Type of Roofing Ext. Finish I I_`1 Int. Wall Finish /v Y'L.
Use of Bldg. No. of Units Bedrooms/
Garage or Carport At ached2-
--f---XPrivate lletatched
3.--)- 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) dimensitns of buildings; (6) location of sewage sys-
tem and water supply lines.
g N O R T State License No.
1615 ON
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titi
G, g kti a ii. t? .
REQUIRED
a
Plumbing Permit '
is. it
Q ... m Heating Permit
VS L -' ` mit `K M r° Sewage Permit
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O K
��d Plans Received
If
`-1 i ` Plans Checked
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Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cer y information submit is cor ect and the e are no other true es located on th• property except
as shown.
1.-119/
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Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON HE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
6-,,, "W l' -2 DO NOT WRITE BELOW THIS LINE
Your street address will be i / 2?/e q . e zone is, -/ 4.4V r 7:0-144)
Sewage Permit Number Issued Building Permit Receipt SS'. / Issued
Remarks X�, ,Z1-,,L i1/1-ta?b_ g)
Form 523 Bldg. Code