1972, 02-17 Permit App: J1898 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201 v.
APPLICATION FOR LAND USE OR STRUCTURE PERMIT qe
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 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 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 ingre(is
and egress. }
(t OUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must e
rformed 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
ighway, 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.
,A7,e,,e..-,cX..anto f_ APPLICANT FILL IN BELOW THIS LINE
Ga
Name of Owner M-i�i�lf41MIMIK /� llriMI'% •ddress 6?X 74 2? 61 1-12• phone 74
Architect Phone Engineer Phone
Contractor Address Phone
Legal Descript n qf Property coplete descrip io from deed, tax eceipt, etc.
/7 l yi//Lu, , <re- 4)/h
72a - C5 - of/7 l
DESCRIPTION OF WORK:New Addition Remodel Moving Bldg.Zon Fire Zone i d-
Size of Lot d/, *7 .,240..V,/e2 /J G- / -2---- Sewage System �' t, r Stories i i
Const, Dimensions OX �_ X' • • 2- Total Sq. Ft. dit's 0 Valuation--4" 640
(Frame,co trete,brick,etc.) �� j }q
Rooms Baths/Basement/--a/—Foundation Const. A-hC.2 `" etlit44 � Chimney/ iv147 � Fireplace -2•
(Full, part, none) J /// ,`l �" (Kind) (Number))
Heat. System --�4 Type of Roofing CO ' Ext. Finish / S(Zi Int. Wall Finish 1/i
Use of Bldg. e% X)%n /-r / No. of Units / Bedr oms 2._-
Garage or Carport Attached be)cL.h/ 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.
NORTH State ease No.
Ind. Ins. Acct. No.
/ 2
REQUIRED
Plumbing Permit S,A142 �/
n+ Heating Permit �1'/LyB-,'
m I
N N Sewage Permit id
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cer " information submitted is rrect and there are no other structures located o this property except
as shown. �-4‘.1-el'--7 .J /' ,"2---
Owner or Agent Dat
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
`, aw.,, -7/140.12-0 DO NOT WRITE BELOW THIS LINE
IrII Your street address will be .//,9C)3 The zone i ' f- `� %.
Sewage Permit Number Issued Building Permit ` / 1 Receipt . -:ued (_
Remarks
Form 523 Bldg. Code
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