1972, 08-28 Permit App: J4236 Residence� � r
County of SpAan e, Was IIfs g 011
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR. LAND USE OR STRUCTURE PERMIT d�_
GENERAL REQUIREMENTS PERMIT FEE ........ ..... ........-._..
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or s ructure of any
kind or alter any building or structure already erected, or to change a land use. Construction mast 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 Rngineer'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 t
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.
ACCL&SORY 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
Naof Owner 60% D . dress Phone
Ar hitect I Phone Engineer Phone �—
Contractor /r Address �3�,��0ef� Phone'/
Legal Descrip on of Propert (Give complete description from deed, tax receipt, etc.)
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone �-- Fire Zone
Size of
/isI Sewage System --,SU4v er Stories L32_
Const. :911)16 -
L t1226_ Dimensions c,� �X ��� X o�U r� Total Sq. Ft. Ag4422 Valuation 4; O.C�
(Frame, concrete, brie��kg//��e�tc.)
Rooms Baths 11_ Basement�� Foundation Const. �������� Chimney Fireplace
�/ (Full, part, none) ,,/ (Kind) (Number)
Heat. System a / 1° .G Type of Roofing = _� Ext. Finish ���` Int. Wall Finish '�! '
° o No. of Units / Bedrooms
Use of Bldg. eS,�
Garage or Carport Attached Private q�tt�a4P� Private Detatched
PLOT PLAN 2 �� 3
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
S aL� a c> ✓ h e a1 v I C) -L
4A
SOUTH
I hereby ce.17ify info rmq�ion �bmitted is
as shown. _ �✓ B � -
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit _
4A
Sewage Permit _
Plans Received _
Plans Checked _
Plans Returned -
Plans Picked Up
Plans Mailed _
and there are no other structures located on this property except
J — Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
/0- fjo—) DO NOT WRITE BELOW THIS LIME; —�
Your street address will
�S^ewag`e-Permit Number_
AL1?1S
Issued
Building Permi
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Receipt Ienued
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