1972, 08-28 Permit App: J4238 Residence _ _ . . � .
0 County of Spokane, Washington
4f 3 BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 1
GENERAL REQUIREMENTS PERMIT FEE.."._....." .. "_._.
PLRMIT 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 tront 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 BUIINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE C ANTS. Builders should check provisions of covenants or dedications and easements running with the lad
which are enf iceable through civil action. County Officials can not bring action to enforce covenants or dedications
�` APPLICANT FILL IN BELOW THIS LINES/ t
Name of Owner_4900) CD/7Sl`Tlle-)1i0� -M% Address E j- ? 5 N.-Pr-ay ae-' Phone 14-664-472/
Architect___ Phone Engineer Phone
Contractor A/4tz17_ vx,s AUSi owv; .Z..ie Addressi7,_ �. /.fir.v5',/ ,49u ed Phone i -Cd 77/
Legal Description of Property (Give complete description from deed, tax receipt, etc.) __ — 1
. i S j 467o a.,ie-• S, /J7//ape u,.1 , .?4, .c ---
DESCRIPTION OF NVORK:New X Addition Remodel_ Moving Bldg.Zone Fire Zone r.
Size of Lot T" X Aar/ Sewage System -P /' Stories I
Const. File/Md., Dimensions It2All / Y 01 Total Sq. Ft.__ 74'0 ... Valuation _e 'J3 ,C-�
(Frame,concrete,brick,etc.) �+ /
ce,,,c 'e e, Fireplace Rooms � Baths_��BasementTG{ 1/ Foundation Const. Chimney (Kind) p (N rb"_r)
� / (Full, part, none) Qr)z i
Heat. System r/ /re Type of Roofing moo/",, Eat. Finish Int. Wall Finish f'y�"
Use of Bldg. Oee.Si fi7CG No. of Units / Bedrooms
Garage or Carport Attached n iv, Private Detatched
PLOT PLAN y3 /cam
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) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
State License No.
NORTH
c/ -//c�>`�9�
,5Q_ C'.ti k_ C�.� h -s2 c ,e rC`� 0 l a_Y\ Ina. Ins. Acct. No.
J
REQUIRED
Plumbing Permit
in Heating Permit
rs
rnSewage Permit
Ls
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
hereby cert" informati n subm tted is correct and there are no other structures located on this property exec
as s ', n. _ i i "
Owner or Agent / Date .
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
,, Y r� DO NOT WRITE BELOW THIS LINE .
�' i/
Your street address will be /;_j �� j� �/ The zone =!: , "�
Sewage Permit Number Issued �/ Building. permit l/L3D Receipt Issued
Remarks 4j�Q,/ — C ---c-1 .- __ . '--.6 `-)2 r,
Form 523 Bldg. Code
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