1971, 06-14 Permit App: I4723 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 9940
APPLICATION FOR LAND USE OR STRUCTURE PERMIT �-
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
,., - , 2.� i ;�` 1'14 11 w,/ , , g a- -�: / ' / . �1/�- y_
Name of Diner" ��� 1 •ddress Phone i /3 U
Architect / ` -I -Phone Engineer Phone
Contractor ..ez•� G/ e"� Address Phone
Lega Descri tion of Property (dive cc mple descri do f om deed, tax receipt, etc.) i
G i�' - LY 1/..1...‹..,-v-, - f1!rte -
75 3 - 4,9- a2-
DESCRIPTION WORK:New. Addition Remodel Moving Bl.: Zo.eir _ j Fire Zone 3
Size of LQt ki 3 ,/, --6 _ Sewage System , tic.. / Cs�✓" Stories i —
Const., �` ' '� Dimensions 6 X 31; 5 f �-`1 ,9 A 0 Total Sq.Ft.•71-3Y0 r Valuation 5/ 6 0 es
(Frame,concrete,brick,etc.) ,/ /
Rooms Baths Basement ` Foundation Const. �/z'!- Chimney ( Fireplace -3
L--(Full, part, none) �j (Kind) �/� (Number)
Heat. Syste .0/� �/\/t Ext. Finish Type of Roofing .. /- / // Int. Wall Finish G-�
Use of Bldg. �/' No. of Units Bedrooms a
Garage or C. .• t ' ' ��J,�}}f._ ,•f _.1.... ... Air Detatch
PLOT PLAN �ti--'- -y-e,Z '
Draw sketch with dimensions showing: (1) property lines; (2) street or roa o tions; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimension buildings; (6) location of sewage sys-
water supply lines.
a
7NORTH doujoise ...,
6v1.s. Acct. No.
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-
Plumbing Perm ,„�n Heating Permit ' 1
m /1
to N Sewage Permit _ _ - '
-i -4
Plans Received '/
Plans Checked —/
W/
Plans Returned • t'
Plans Picked Up
Plans Mailed if
SOUTH
I hereby certify."'•formation submitted is correct and there are no other structures located on this property except
as show,
�_ _sir /! ' 7
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
Your street address will be f)_ �� �) � /, ---/--- e zone iso 2` /-7-
1fec2------..
Sewage Permit Number Issued Building Permit Receipt 5 3 3 L Issued
Remarks
Form 523 Bldg. Code