1971, 06-16 Permit App: I4888 Residence110
County of Spokane, Washington �(�
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201 T
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 SY&TEM. Permits are required in all cases by County Resolutions Nos, 45-133 and 47235.
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 an 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.
APPLICANT FILL IN BELOW THIS LINE 4/1'24/& .1
Name of own,per.�A#0L/ L�_J"Lc•T/IP/"G Address 7/k/Ot /$</O� Phone 9'S/ --77k3
Architect6t'/` L•L✓UIY7r Phone�%.���.i'7O F]tglneer Phone
Contractor7j,o eoN7)Qr/xif90Gf /AJC, Addr2sa f1.0•&h(/SA//d
re/envy- 99 5lPhone /Ieb
Legal Description of Property (Give complete description from deed, tax receipt, etc. ) /GTa/ $1-o4= 'm -6 Apa
06H4o/
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DESCRIPTION OF WORK New /' Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot //3 fr Cir Sewage System 53OTICM-MC-
Const.F2. nimensions 32 X .49 v Total Sq. Ft. /67,0 • 6.$7-- Valuation a5 too • eA
(Frame, ccooncrete, brick, etc.) 7.1-449/ ids—
Rooms 7 Baths �_kcBasement pas-- Foundation Const COAJG%lo/d— Chimney i /G Fireplace 2
(Full, part, none) (Kind) (Number)
Heat Syste t34 -S 'E 4 Type of Roofing Sµ/941iy� p 2d4A L4tttC Ext. Finish ,DnIA/ r Int. Wall Finish BfNd r
,Q,y
Use of Bldg. s it'e» /741 7El.4.4/11At7 Al - No. of Units _Bedrooms
Garage or Carport Attached aq-S912.4-6$—
Stories
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
s
ti
State License No.
a2,3 -0/s/19 20
Ind. Ina. Acct. No.
21'-/-991-
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cejtify information submitted is correct and there are no other structures located on this property except
as shown
moo— /lp — 7�
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 UNE
Your street address will
Sewage Permit Number Ieaued Building Perm
Remarks 0/74
O_Zeir 100 Ca D
e zone Sslqa41•i��
Recelpt541-7Issued b-af`7/
Form 523 Bldg. Code
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