1971, 09-02 Permit App: J0559 Residence of
County of Spokane, Waskington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR. LAND USE OR STRUCTURE PERMIT 42-'�/
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.
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
-3-7ffez
Name of Owner s-----101 lI CL/ �} 12✓ Address SQA_![`�,r� IJ `/h ;J/4 ph on
Architect_ h CJ "' - Phone Engineer _ _,_ Phone
Contractor �C (64�f, Address -P__,_
Phone �
Legal Descriptipn of Property (Give complete description from deed, tax receipt, etc.) y.5 4.1—' //gel"!
--_Itis'},2_14 e r= L�� ,1- S� /9 C.L e9 t---' 1-o r6___ __lk 99C _rox-0 t4 c rave S�r
DESCRIPTION OF WORK:New Addition Remodel Moving Bldg.CZone / Fire Zone
Size of Lot 7 6 :y r /3 5 _ _Sewage System -S.e YCz t, -<'!, /c Stories /
Const. f} Ez Dimensions ff�� - Valuation C,M. Q,
M � U x 7'1 Total Sq. Ft. rQ / / , )C9
(Frame,con rete,brick, )
Rooms Baths I 2..Basement t./t Foundation Const. (10/-1 CQr J/
"f' _ Chimne6/24 ° Fireplace
(Full, part, none) , /' / / (Kind) ( ! (Nu�Yfber)
Heat. Systet , , (Of Type of Roofing 0 ; C xt. Finish C- ticY4 .Sid," _Int. Wall Finish _.5—
h FP In vac'
Use of Bldg. /'e f :04,1-1‹. e _____ __ No. of Units / Bedrooms,7
Garage or Carport Attached (.a w1 Private Detatched
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.
firoitiali St el/r-i-4- State License No.
Ind. Ins. Acct. No.
iti I !
1G_
i
Oottil 1 REQUIRED
4/ Q r
1 nal Plumbing Permit
T m Heating Permit
7:4
lis
c, ,yq Sewage Permit
G Plans Received
[_______ k Plans Checked
L! Tom` Plans Returned
30'
�y v` Plans Picked Up
I0go e Plans Mailed
l— F 4
$ H A/-0e7-4_ /
I hereby r ify in o ma n �bmitted is correct and there are no other str cture located on this property except
as shown.
�! "n'v^� _
t .
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES REFO CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be e, //_s6 6.4.i deig_. The zone is*--L ���Sewage Permit Number Issued Building Permit Receipt k)C` Issued 9` `7/
Remarks - 6 .S--..S-7
em 523 Bldg. Code