1972, 06-20 Permit App J3686 Residence, GarageCounty 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. 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
.-tZ'z 9 9..2 e 6,
Name of Owner/,t cl-flt..\.�eridt7,:_ .,.` Address I C) f E.-yitt',1, Phone 10Li- _56FC`
Architect Phone Engineer Phone
Contractor Li,'ak .,,. Quyi.o-"u.,.,:ts,. Address C104cr £- ik,S-+1 rk.•,._. (-Mace., Phone& M' SCcrfC
Legal Description of Property (Give complete description from deed, tax receipt, etc. )'Th P. (.)e._ c..,1 icir/
of the -.,<7" ,,,Tho 1 c f 7'f)to, iv' 0iq-A 147. g7' 0f' `$Ioc k 09,
rcrtiar.1 4 ✓ram Jul. o 7s- 4l2r- , O.3
DESCRIPTION OF WORK: New L- Addition Remodel
Size of Lot IC C.) / X le-/-7 !
Const. 'A rY1 Dimensions 4,/l.2 X - f X .'Q 6 1
(Frame, concrete, brick, etc.) 1
Rooms 6, Baths 1 1, Basement FL 1 ! Foundation Const
(Full, part, none)
Heat. SystemG/gS F. �� Type of Roofing Cs, p rl �.
Use of Bldg Sine JET ami1 r i1r.F,s
Garage or Carport Attachedi�-
Moving Bldg. Zone / Fire Zone .S
Sewage System So p1 a' C . Stosies 1
Total Sq. Ft / gf` Q Valuation (2.-3 q5 c
C. ' ,-t c' r t-' -r . Chimney Fireplace
(Kind) (Number)
Ext Finish IA,' C' c+ ri Int Wall Finish D)._ y LL° 0 i 1
No. of Units / Bedrooms
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.
Jaek.so;;
N
as sh
NORTH
SOUTH
IIhereby certify information submitted is correct
LOR.C.U'i�a,
Q Owner or A6nt
and there are no other
State License No.
79 c
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit r) 1-1- A %' Sc- a 5
Heating Permit S ill :1 s
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
-
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 f /
Sewage Permi)t Number s Issued
Remarks Ai'
CJ1QAQ_A-i-f)
Building Permit —
The zone i
Receipt , . q, Issued
Form 523 Bldg, Code
JOSEPH L. DICKINSON
PROFESSIONAL LAND SURVEYOR
E. 12121 MANSFIELD
SPOKANE, WASHINGTON 99206
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