1972, 08-28 Permit App: J4241 Residence,J ti
County of Spokane, Washington.
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LANDS 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 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.
NATER. Nater 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.
SFT -RACK FROM PROPERTY LINES. In most zones and under most circumstaneon, a set -back from the front Droperty line, of et
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.
ftPATkICTIVE COVENANTS. Builders should check provisions of covenants or dedications and e" ementS running With the laid
which are enforceable through civil action. County Officials car not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner A -Address , apo -0a Phone
Are itect Phone Engineer Phone
Cont actor ���p��/j`j�r�C�r°pNC, Address t!� Phone &�51 Gz7%�
Legal Descript n of Property (Give complete description from deed, tax receipt, etc.)
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone -- Fire Zone
Size of Lot
Sewage System dT �CrJGS/' Stories
Const. :—rwMG Dimensions Ir! Total Sq. Ft. %fid d _Valuation -;�i X00.0
(Frame, concrete, brick,1,te.) L q
Rooms_ Baths �Basement _M Foundation Const. �i7e_r Chimney &1 Fireplace —
(Full, part, none) (Kind) (Nu ber)
Heat. Systeme C��Type of Roofing � l Ext. Finish 14-)Z)e Int. Wall Finish v60P
Use of Bldg. _ E'.`/�C�E'/ICe, No. of Units Bedrooms
Garage or Carport Attached- i t7he-, private Detatched
PLOT PLAN 52 ! —,5. V '3 ' 'a
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.
NORTH
State License No.
Ino. Ins. Acct. No.
SOUTH
I hereby certify inrmation submitted i correct and there are no other structures located on this property except
as shown.
Owner or Agent Date
LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
T IS IS NOT A PERMIT.
2n,� A0_7,—V DO NOT WRITE BELOW THIS LI"F. 1
Your street address will be eC� _1d [_The zone iY�t1
Sewage Permit N"er Issued Building Permit Receipt rssued
Remarks (', i \/? (//r 11'�, C"', —
REQUIRED
i
Plumbing Permit
iw
Heating Permit
KA D
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify inrmation submitted i correct and there are no other structures located on this property except
as shown.
Owner or Agent Date
LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
T IS IS NOT A PERMIT.
2n,� A0_7,—V DO NOT WRITE BELOW THIS LI"F. 1
Your street address will be eC� _1d [_The zone iY�t1
Sewage Permit N"er Issued Building Permit Receipt rssued
Remarks (', i \/? (//r 11'�, C"', —
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