1971, 06-11 Permit App: I4695 ResidenceCounty of Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMI
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 mist conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject t0 impaction.
WATER. water supply must be approved by the County and State Health Departments. Where work ou 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 andir 235.
SETBACK 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 OP BUILDINGS. A permit is required to move an existing building. When a building is moved op 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
oCJ
Name of Owner / = /1 ✓ rCi it /NR ddress Li Y S l' S Phone 773-47/3
Architect,, Phone Engineer ,Lam/ mat'. SSW'. Phone a4P.6-3-7-(s/97
Contractor d S !"4//OV(.._ Address Phone
Legal Description of Property 011ie complete description from deed, tax receipt, etc.)
La* S 13/act z- Pahcdaresa Qere 'or h f` Parr
32- -0705
DESCRIPTIO�N,OF WORK: Ne Addition Remodel. Moving _ Bldg. Zone / Fire Zone
Size of Lot &/op/ a 30a y 30.di 2- acrt's. Sewage System 5eplr e- Stories /
Const. Frame_ Dtmenslons Total Sq Ft. /9.3 L Valuation 3Za40.'
(Frame, concrete, brick, etc.)
Rooms 6 Baths "1 ----Basement Yes Foundation Const. Ccii4c 'C- Chlmney1465°O VFireplace -3--
(Full,
'(Full, part, none) /I /' (Kind) f n (Number)
[/
Heat. System G.
F A , Type of Roofing Shu /tom Ext. Finish WOO 1 Int. Wall Finish Dry U/a//
Use of Bldg. we ll 1 Ili
At rtchs'ef Qara5a
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.
No of Units / Bedrooms -3
I hereby ce
as shown.
State License No.
7-Z3-0/-9'0c7r
Ind. Ins. Acct. No.
2-7x1 - S'7�/
REQUIRED
Plumbing Permit Ens/ ersah
w Heating Permit �A+ ¢-M ile-w/T/ lto
utSewage Permit CZI/'FAI inA /+/1114
y t/
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
nformationuy bmitted ig-gOrrect and the are no other structures located on this propertyexcept
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 15 NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be /0//2' G. -e79/ q ..p_me zone is
Sewage Permit Number Issued Building Permit Receipt -5 (sued
Remarks
Form 523 Bldg. Code