1971, 04-14 Permit App: I3982 Residence County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 O
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ///, .,33-- -
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 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.
/ L APPLICANT FILLFI,� IN BELOW,+ THIS LINE
-dat.///t-D ()f)X)te/e-3/4d/+'_� •ddr ss 6�/ ..`J�'�.,f/i�i/14/ /7/ 4'1/9 s
Name of Owner Phone �d d l/
Architect Phone Engineer _ Phone
Contractor •j A `` Address __" 4. Phone
Legal Description of Pro.er y (Give complete description from deed, tax receipt, etc.)
3 3,, a„ --„ ,, 3 3 S" 7 . ___ 00 2_U- ,?
DESCRIPTION WORK: w _�_��Addition Remodel Moving Bldg.Zone / Fire Zone 7
Size of Lot /"4/1 / 1s. Sewage System "
i y i-- `Y� --- Stories _
Const. A- /+ 1 - Dimensions 7t) A ref g I A 01," Total Sq.Ft. /.b 6�.% Valuation 424-6. 4 a
(Frame,c ncrete,briA,etc.)
Rooms Baths Basement Pi`//i Foundation Const. ,/"'',=' 17 Chimney Fireplace
Full, part, none) (Kind) ]' (Number)
Heat. System
gill,
Type of Roofing /_ / /4- ' Ext. Finish 7 /1/ Int.Wall Finish -1-s�,�� /� '�0/�
Use of Bldg. QS-' �'' -- C�L.- . No. of Units Bedrooms -2-,
Garage
Garage or Carport Attached 6-4R,/lc 1 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 License No.
Ind. Ins. Acct. No.
iREQUIRED
Plumbing Permit
m Heating Permit
m
en / )3_1, trl Sewage Permit
Plans Received
Plans Checked
Plans Returned
i
Plans Picked Up
V / / j Plans Mailed
• 1SOUTH
I hereby certify information submitted is, orrect andlthere� are no other structur lo ated on this property except
as1-6/ 44/Ch--.-. ;:te c r .4',/-'-,�.AIX 7`-/,/Le -c '`� ,/7,/ 2/
(/ �' Owner or Agent /.4.'4',,---'
'/ 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 e /1 3 .? 5 ,3e, �� C.rirpr---)L AyDh a zone is; `y-c 1,/,---- I /l, j
Sewage Permit Number Issued Building Permit 3 [ rReceipt' l�9 tissued /
Remarks
Form 523 Bldg. Code