1972, 04-26 Permit App: J2775 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 992Q1
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
"1 IT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure o& .,.
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 aceerdgnee with stakes, Points of ingress and egress must be approved by the County Engineer.
MOVING OF BUTLDING6_ A permit in required to move an existing building_ When a building is moved on a County or State
sighway, 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
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Nsmu of (twiner L f n? } ._CL. f ddress YIN X 4)) 11/bs,' f,1 f Phoael h r-
Architect Phone_tug ineer phone f
Cdntraetdr � 10tl4ess PR4s4
Legal e�IptiOn 01 r p rtr ?drive complete description from deed tax rec 1pt. etc_5
7 Write i =6.474 lt'( MQ 7'"4'Y(e-
1)°' _ 8,-5 Y3 - 4117
DESCRIPTION OF WORK:New Addition Remodel Moving Bldg.Zone / Fire Zone
Size of Lot 76. ] ! ' /3 Q Sewage System � T,,f Stor"!e
Const.Dimensions a f }f' � Total sq.Ft, / ! O Valuation'//f-9oii!
{pram co rete,bri k,e/}c.) r
Rooms Baths f r/ Basemen/IJL 'Foundation Const. ��"'1�e/P_ Chimne e��4-Fireplace
O�Fu11, part, none) /� / (Kind) f (Number)/
Heat. System ._�_ its Type of Roofing con,f? Ext. Finish 7 / " // Int. Wall Finish5/j Pini-iea4
Use of Bldg. es dl..i C .t' No. of Units / Bedrooms,_
Garage or Carport Attached 12 OF -1 -e Private Detatehed et . '
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) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
14430,14 J
( State License No.
t )J .3 - Of if 9f?
11 Ind. Ins. Acct. No.
REQUIRED
V 4Plumbing Permit f 1e'14 4064" NI/
'L f Ai'K m� Heating Permit /7"4-114
N1 tN-1) of Sewage Permit Vex t vi
I i 7- Plans Received
Plans Checked
��� Plans Returned
Plans Picked Up
J ( NV Plans Mailed
WARIT 3O ,9je
I hereb certify iif. motion submitted s correct and there are no other structur s located on this property except
as shown. / / i structur
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Owner or Agent Date —�
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
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Yo street address will be > /3 0-4 0 L
u�a..� �' �`' The zone is�1��� ....(SVJ-wi.-
Sewage Permit Number Issued Building Permi Receipt 414 Issued
Remarks
•
Form 523 Bldg. Code
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