1971, 02-01 Permit App: I3357 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
�
GENERAL REQUIREMENTS PERMIT FEE__ ,l
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 subjt..` to inspection.
WATER. Water supply must be approved by the County and State Health Department,. There work on water connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained i the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and -935.
SET-BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set-back from ,,..,. `r^r' 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 require4.
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
i /V'
Name of Owner .r Address S. JO 2 004/4"
? fav Wa" Phcft#/Q� -6-% !�J�7t4
Architect I'4 b'^,' Phone Engineer ,-y . Phone
Contractor -Xc'� (4 4V/, Address fv. 3®D►✓ (�W�/f Phone
Legal Description o Property (Give complete description from deed, tax r ceipt, etc.)
/O ' 'Ie fi es '` �!i p L.o-f-' 4 d3Loc� �$ f
--7(Ldl{a n40 re"w/z r; 14`t —
DESCRIPTION OF O,�K:New Addition Remodel Moving Bldg.Zone ] Fire Zone 3
Size of Lot 7 c k I ? .� X Sewage System f4.Ae. O'44"Sto 'es / Q
Const. re244,.-f Dimensions -07S /- ,5 Total Sq.Ft. / 7 7$ Valuation/,3ow --
(Frame,concrete,bri k e c.) '�� e
Rooms r Baths Basement.f/ ' Zundation Const. el.Cite#�"C...,. Chimney 4 v. Fireplace /
,Ap /+ (Full, part, none) //��rf}�� J (Kind) {,, (Number)
Heat. Systemrt/if $4r Type of Roofing CaM�. Ext. Finis!h`'�'�� '~C nt.Wall Finish f Afr
Use of Bldg. g es /d e4 .G--• // o. of Units Bedrooms
Garage or Carport Attached /9774 G/4 4 414fiI/2 r- Private Detatched
PLOT PLAN ," / U,f
2F �_�67`f✓
�S
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 / 1 State License No.
I (II 7.
4 , .00
Ind. Ins. Acct. No.
' -
&IL
/ REQUIRED
i
Plumbing Perm y�/
I t 1 ti ft 41 We n+ Heating Permit 0
ul J N Sewage Permit _
.___Y_______
j
flit 4t).- s ,
)" sG
Plans Received
Plans Checked
Plans Returned
IF:-wIt/k Plans Picked Up
33 Plans Mailed
s-Ii
SAMINT.I4 /00#71.4 .3/f r fie.*
I hereb c rtify inf tion submitted is correct and there are no otthhr structures located onthis property except
as shown. f., / /7 7
Owner or Agent Date
A LAND USE OR STRUCTU •10'ERMIT # T BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS-610T A PER IT.
tr-A * ,o OT WRITE BELOW THIS LINE
Your street address will be ' 3
The zone i-lit 4 A
Sewage Permit Number Issued Building Permit , .3 Receipt ..,.._47 "Issued
Remarks
Form 523 Bldg. Code