1972, 10-02 Permit App: J4600 Residence 7
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /k64
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 sett-bac25frrear m the
frfront
nteproperty
itydline, of at
a flankingstreet, a
side and from
least 25' is required, a 5' side yard, 15' Y
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set-back and ingress
and egress.
COUNTY ROjDS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
performed n 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.a
APPLICANT FILL IN BELOW THIS LINE
Name of Owner 7----2-7",141 e er,z,./ '�F`h,` Ill" Address 611e,x. -7 .a2 7 Phone /-"a 71-4-
Architect Phone Engineer Phone
Contractor
�'yr Address Phone
Legal Description of Prgperty (Gine complete desertion fro deed,.t recei )
17-14
,._„,e./ /4 ,..., ,s...--5'-y Z.- 2j/71:3 "Ve41'9
Remodel Movin Bldg.�one Fire Zone i -'
DESCRIPTION OF WORK:New Addition g ���
'ize of Lot_J7%i': 4'" ?a - /:;21. ,i25 `'Z A.7- .1"-'" Sewage System .0 i i, z C- Stories / 4--
it-el' -rc-7.K '/.ice /' J /9.--P-el Valuation ..1 .Z:7'Ci t'
Const. Dimensions � � X Y Total Sq.Ft.
(FrameAticrete,brick,etc.) / /1 //
Rooms Baths Basement rq�( Foundation Const. LCTh C'�' � Chimney' �` �'*' �Fireplace
(Full, part, none) (Kind) (Number)
Heat. SysteroA / 'a,— Type of Roofing 7141 461'f-- 1."Ext. Finish it 47j4 Int.Wall Finish ,[i° r�/1-�7
Use of Bldg. ff-e-
3 6 No. of Units / Bedrooms 3
Garage or Carport A ached) �(?et hf _ Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
d(p
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
temm and water supply lines.
State License No.
NORTH
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit ��)i7/T'
'n Heating Permit -S\7/,`4
a
. N
Sewage Permit S )-"71/ at
N
•.I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
it SOUTH
i
� I hereby cert; nformation submitted orrect and there are no other structures located on this property except
a� shown. ��< �� ,7/,-
z, C9c�2 /97Z-
7GL'
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 7-)
*
Your street address will be /jure 47 , .-3 %-7'47 The zone is
Sewage Permit Number IssuedS\7oy:,A t Receipt Issued
Remarks Ad1/7 �. .
cri,_,/\ 9
/
Edi .441.
Form 523 Bldg. Code
. �� C V> _ / 1� //
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. Cp D O , BUILDER
{ BOX 7827
SPOK NE, WASHINGTON 992 8
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