1972, 10-17 Permit App: J4790 ResidenceCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
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. Paints of Ingress and egress must be approved by the County Engineer.
MOVING OP 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.
z4',
34."
APPLICANT FILL IN BELOW THIS LINE
Name of Owner /t / /�'rd(TT
L/ 71' Address
Architect Phone FL6lneer
Contractor !Vw-I4C—'
Address
Legal Description of Property (G_ a complete description from deed
.L. r5 /.
99-107
Phone HO -9- g',19/
Phone
Pe
5 /-O/OL'
9 r . AL) _lQ A&O-3/
DESCRIPTION OF WORK: New 1/ Addition Bldg. Zo Fire Zone e,
T
Size Offp�tI ^�--2,'�' X `j�S / r r Sewage System Q'C/ / Stories �� � �
Const) t4a-- Dimensions -1. 4X//41 — 6 X-28 -. 4.X.24 Total Sq Ft / 7.3 Valuation eZAd00
(Frame, concrete, brick, etc.) /�
Rooms .; Baths L_—Basemen!-y_ Foundation Const. e Chimney — Fireplace --
(Full, part, none)
Remodel
Moving
Heat. System
Use of Bldg.
Garage or Corp rt Att ched
q (Kind) (Num er)
Type t Roofip l -./F-LLL'2.� Ext. FlnisN/.�'4d�' R.GA,QA�fJ�nt Wall Finish 14''
A/ No. of Units _Bedrooms ,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
—2'
PRat,00co
f$SIOENC
87'
?e TN Ave. sn11TH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit l�
Heating Permit
y, Sewage Permit !/
ti
Plans Received a✓
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
er,_ 49F) 7l_��� /D—/7- 72
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
&M- 1/11/1420
Your street address will be / doe/ C , ,ver -10/, _ rrJ mho zone i���ALi,S
Sewage Permit
Remarks
as shown.
DO NOT WRITE BELOW THIS LINE
Building Permit Receipt Receipt Q/o/ d Issued
form 523 Bldg. Code