1972, 02-10 Permit App J1842 ResidenceCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
Rooms (p Baths
6v
GENERAL REQUIREMENTS PERMIT
PERMIT REQUT,� land use or structure permit is required by County Resolution to erect a building or str.c ree Hof an7
kind or alter any building or structure already erected, or to change a land use. Construction mast conform Rich 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 car. not bring action to enforce covenants or dedications.
��JJ APPLICANT FILL IN BELOW THIS LINE
Name of Owner Ge N I e rl oMeS Address s--a..31J St< Ir rn1OwL"t,
Phone/44.4'4497
Architect Il. W S O /I Phone Engineer Phone
Contractor - /Y'1 a cc. S ow rl e N Address Phone
Legal pescrition of P,operty (Give complete description from deed tax rgceipt etc )
Ps /h 3 p- bof 13I0e_k f a_14' sr6 -/Ye
DESCRIPTION OF WOFtK: New Addition
Size of Lot [ J
Const IAA Me Dimensions 1 x r
(Fram oncrete, brick, e c. )
asementeIl1I Foundation Const
Remodel
(F u11, part, one)
Heat. System el. try b,%Type of Roofing Co rr) f
Use of Bldg. R +Q S 1
Garage or Carport Attached
Al
Moving
Sewage System
Total Sq. Ft.
Bldg. Zone
Fire Zone
ii§tories
Valuation w2...a0 do
COA/Ghe` e Chimney / O- Fireplace
(Kind) (Number)
Ext. Finish ykljbOgi Si kilt. Wall Finish h L.4J4L 1
/ No. of Units, / Bedrooms
Private Detatched a
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
m
State License No.
REQUIRED
Plumbing Perm'
Heating Per
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I here certify information submitted is correct and there are no other structures located on this property except
as shown. c,_ QI
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THAS IS NOT A PERMIT. ✓�
DO NOBELOW THIS LINE
Your street address w111 be
Sewage Permit Number
Remarks
/0,
e zone i
Receipt
Form 523 Bldg. Code
6'
T Z
O
PLO,
Lo7 6
0
15G.3'
O
CA-fALUO STRE-E.7
20
Scat¢ I ,=3
M-55-3(o I
155'��
Is
00
LEGAL_ DESCRIPTION
Thq- was+ ISC.3 feet of Lot 8 Block i Walnu+ Add,tior,
For:
Frank Madder\
Clarence E. Simps•�n Engineers
1-1.909 Arlon n2 Road
SpoV.oan2 ,ashingt,�r\