1972, 03-31 Permit App: J2409 Residence County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 35.00
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 cr ditches of County Roads. permission must be obtained from the county Engineer's Office,
SEWAGE SYSTEM. Permits are required in all cases by County ResolutiODS NOS. 45-133 and 47.235.
SET-BACK PROM PROPERTY LINES. In most zones and under most circumstances, a set.-back from the front property line, or 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
Qerfor'mgd in as ordanse with stakes: Points of ingress and egress moat be approved by the county gigeef,
Mourns OF SDILDINOS_ A permit 10 required to mavL an bUildinnh. When a building is moved on n county or State
Mlghwny, elnnran" x.unt ga agtgipa4 T;gM thA OeHn%y Engineer and/or Stats Highway 15epartment.
AHCEEndRY flllfil,OINOO. Accessory buildings (aaraaer<. �siiede, ate_? FuquiF® a Bupagata permit,
RF:WTRICTIVF: covE:sAsTis_ Builders should easel pr8vlui§RS §f ?IF dedloatiunn and easements running with thy land
whie9 a" 8Rftre?a818 thr*lint Mil anion. Conn€r Officials ran not bring action to enforce covenants or dedications_
APPLICANT FILL IN BELOW THIS LINE
Name of Owner R•R• 1-1Q$Y(:rI l=■ address It 192_ iinivorsisg . _ pftOgo WA 4 9b_■9
arehitect 11l!,11oWaV phsAa slfl* i' Fti 011P
GohtraStOf it-14- 14P9Vg r 1Il@. Addra:: XAme PnOna DMQ
ttaaai Description of Property (clue nomplete uueeFfptish frm dm, tail issysiBE. enc,}
tot is i3loek 5, cautle Add.
Parccl * — 33542-9068
D SCRIP1'ION OF WORK:New xSt Addition Remodel Moving Bldg.Zone 1 ,Fire Zone 3
Size of Lot A0x 125' Sewage System Puhl i r _ Stories 1
Const. Frame Dimensions S(x2( Aid 10x21 Total Sq. Ft. 1 6'Zf Valuation 26,550.00
(Frame,concrete,brick,etc.)
Rooms 5 Baths 2 Basement full Foundation Const. cpncrete Chimney brick Fireplace 2
(Full, part, none) (Kind) (Number)
Heat. System GFWA Type of Roofing shake Ext. Finish wood & brick Int. Wall Finish dry
Use of Bldg. residential No. of Units 1 Bedrooms 3
Garage or Carport Attached 2 car att. Private Detatched
.1, 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 License No.
VnY` 223 01 10073
Ind. Ins. Acct. No.
see att. plot plan REQUIRED
Plumbing Permit United or Emerson
m Heating Permit Emerson
m a
Long
to+ Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cert' - .formation submitted is rect and there are no other structures located on this property except
as shown.
Owner or Agen Date
A LAND USE OR STRUCTURE PER IT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
'14teL�,. DO NOT WRITE BELOW THIS LINE
f Your street address will be /a-P0 ,J The zone is
\ Sewage Permit Number Issued Building Peri . Receipt 9/5o Issued 7�
Remarks
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yd9 c
Rion 523 Bldg. Code
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