1972, 04-10 Permit App J2553 Add to TrailerName of Owner /PA�77Z 4/ Address /9/-? G /rQ4/' e/4'zC Phone i1/ 99
d' -`,
Architect 19 f Phone Engineer Phone
Contractor S109/1%.- Address Phone
Leg
al Description of Property (Give complete description from deed, tax
DESCRIPTION OF WORK: New Addition x" Remodel
Size of Lot '7f-,s7 o .' / :: / i t �S% G%
Const, Dimensions / -;e .
(Frame, concrete, brick, etc.)
Rooms— Baths 449 Basement /4/0 Foundation Const
(Full, part, none)
_
Heat. System, e' �4 • Type of Roofing e‘v,�P Ext. Finish
Use of Bldg. T.." �o Q /7/�c, /2/1
Moving B1d
Sewage System �-
Total Sq. Ft. : > %'S— Valuating -
Zone
Zone
_ Chimney "' Fireplace
(Kind) (Number)
�,GYvtr� d:7 Int. Wall Fini/sh''9�ZL//✓6-:
No. of Units _L_ Bedrooms
Garage or Carport Attached
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
7/7.c 7-
SOUTH
Private Detatched
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings;
I hereby certify informati n submi ted is co
as shown.
County 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 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.
99O/6'
APPLICANT FITS. IN BELOW THIS LINE
receipt, etc.) / 7 T -
�T
Fire Zone
Stories �—
(6) location of sewage sys-
State is se No.
Ind. Ins. Acct. No.
RE9UIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
d there are no other ss •
uctures located on this property except
L>i / : .1 c9
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Owner or Agent
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
Building Perm
The zone i
Receipt 2 . Issued
Form 523 Bldg. Code