1972, 09-21 Permit App: J4455 Residence 41111110 ‘4401
County of Spokane, Washington ,
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /4
GENERAL REQUIREMENTS PERMIT FEE ra /
PF.,RIIIT 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 Ownerti✓°'t7.4-11, cli
Address f .5� w"�.fC°,rtF..t Phoner� s 4'1 .
•Architect Phone Engineer f Phone
Contractor`VJ t 4,t,,,.,,c'( ...,,,\"%.....A.,,, , Address Phone
Legal Description1 Progerty (Give complete/� description from deed, _tax receipt, tc.)
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41.4(2.4
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0 ` C1-1-1-, -F 1 J s'
DESCRIPTION OF ORK:New L'''...."'Addition Remodel Moving Bldg.Zone l� Fire Zone ad.
Size of Lot Cr 0 > 1 i Sewage System Kim/ c--c-) Stories 1'
Const. :<',-1.-''s-- Dimensions ..tW Y 4-a Total Sq.Ft. 11d'6 Valuationo--u-0
(Frame,concrete,brick,etc.) t w-(-,an ,�j,.0--..
Rooms_' Baths Basement -^ Foundation Const. 7 i -'Gi' h.. Chimney 0 Fireplace
(Full, part, none) (Kind) (Number
Heat. System
„of
1t4�' Type of Roofing Ext. Finish�' '''l Int.Wall Finish
a
Use of Bldg. g .(-4' No. of Units �edr s�r2—
Garage or Carport Attabhed II 1- 1 Private Detatched77--
a,,,-61------.L- -'t
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 arid streets; (5) dimensions of buildings; (6) location of sewage sys-
ter and water supply lines. ,,�
State License No.
/ NORTH
C' �t �,17�---67 yt ��
4• Ind. Ins. Acct. No.
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_. 1
I " 'Id- REQUIRED
I
` ( Plumbing Permit 'A(I+b..- ( : �L='-4=i':
i ♦ �'
1" ,, m Heating Permit I'"\4°��•� "' a..�:'' N_.
in L G _j' a* •i ta Sewage Permit
-I a ��Aar 4v I -1
1I' Plans Received \
P. ` Plans Checked
'2Y .1 Plans Returned
. Plans Picked Up
X11 Plans Mailed
I
SOUTH 9�"
I hereby cert y info t$ation submitted is correct and there are no other structures located on this pygpMrty except
as shown. l� 2 , Q� ,,,/��
/'� c ,.. k'. t1.-rel.1'..el ) it---e f�'.�---, 't+...„ems,,•. -...
��"" Owner or Agent ((( Date
A LAND .USE OR STRUCT�• • •MIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. .s
THIS IS NOT A PERMIT. p
ida
Art Z. DO-NOT WRITE BELOW THIS L_INE '
Your street address will be _ - ,. °I e zone isvr,i;;10 -r''OU ,
ei
Sewage Permit Number Issued Building Permit, y,,(15 Receipt 9 3 6,5" Issued
Remarks ./
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