1972, 03-17 Permit App: J2196 AdditioinCounty 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.
/ i
Name of Owner ddress /. . . ..i.. Phone WA- 4-2791)
Architect Phone Engineer
Phone
Contractor Address Phone
Le 1 ``DDe�esc p
Description of Proper y (Give cometed ,cript on from deed, t ecei' , e c.) /
o
APPLICANT FILL 111 BELOW THIS LINE
• r -
DESCRIPTION OF WORK: New i/ Addition Remodel Moving Bldg: Zone / Fire Zone
Size of Lot 75-X 1,--5.--
, -- Sewage System Stories O
Const Dimensions Total Sq. Ft. Valuation q %�
(Frame, concrete, etc.)
Rooms --- Baths Basement Foundation Const ��'L��� ^� Chimne Fireplace /
(Full, part, none) (Kind) (Number)
Heat. System` _`- -_Type of Roofing Ext. Finish Int. Wall Finish
Use of Bldg. / ..-L^tO 2-1 No. of Units Bedrooms
Garage or Carport Attached 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.
!d
kuG -USTA
/1
NORTH
P
PR9PDS/ D
F/R,Pt'ce
I61 ' Plumbing Permit
iw Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
State License No.
Ind. Ins. Acct. No.
REQUIRED
as s
SOUTH
I hereby certify infor t'•n sub. ?' s correct and there are
Date
MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
no other structures located on this property except
Owner or Agent
A LAND USE OR STRUCTURE PER
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
Building Permit
e zone is
Receipt S qC
Form 523 Bldg. Coda