1971, 11-18 Permit App: J1348 AdditionCounty CO Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201 '
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 7'
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.
which are Venforcce enforceable Builders kCountysOfficials covenants
not bring dedications
toand
enforcemcovenarunning ,or dedwith
cations.
APPLICANT FILL IN BELOW THIS LIRE 6 f 3
Name of Owner C / N f,�" [y-� -- Address //505 pone
Architect ...SAM E* Phone Engineer t Phone.
Contractor
Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
r
Vel fik“ / je42,541_7-0-410
DESCRIPTION OF WORK: New f Addition Remodel Moving Bldg. Zone ( Fire Zone 3
Size of Lot ��I Sewage System Storie /
Dimensions .� !' - Total Sq. Ft. q �p Z Valuatio
rame, oncrete, brick, etc.)
ooms Baths Basement Foundation Const 4 %� G., Chimney Fireplace
(Full, part, none)
(Kind) (Number)
4:ily pe of Roofing Ext. Finish Int. Wall Finish
0-0,14,44/ No. of Units Bedrooms
ero
Heat. System
Use of Bldg.
G. age or Carport Attache
m
LOT PLAN
an
raw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) lon offexistingsand
osed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location
m and water supply lines.
Private Detatched
NORTH
:`
clo
8B�
I
as sh
rtify
nfor
SOUTH /'T�4J
REQUIRED
Plumbing Permit
en Heating Permit -
Sewage Permit _
Plans Received
Plans Checked _
Plans Returned _
Plans Picked Up
Plans Mailed —
islibmitted is rrect and there are no other structures
A LA
THI
4-44PF
or Agent Date
USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
ated • this property except
le zone is is1.
Your street address will be -! aG �;" sued
Sewage Permit Number Issued Building Permi -�� • �) Receipt I��`
Remarks
1