1972, 03-09 Permit App: J2114 ResidenceCounty 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 mast 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.
0.
MVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
H ghway, clearance must be obtained from the County Engineer and /or State Highway Department.
A CESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit. .
eSTRICTIVE 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.
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APPLICANT FILL W BELOW THIS LIFE
Name of Owner Address
Architect Phone Engineer
Contractor M , ,aJZ, Address
Legal Description of Property (Give c• • ete d scripts fr dee , t x eceipt, etc.
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Phone
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DESCRIPTION OF WORK: Nev
Size of /e d' k' /.mod �u- ►L -iLe
Const. Dimensions c G�-X it
(Frame, concrete, brick, etc.) n A n - �/L1/r dd x� e_
Rooms i�' Baths --(, tSasemenT �-e) Foundation '.,U . - - -- - (Kind) _ (Nu er) /n
�� j� , (Full, part, none) /� C,.oie_
Heat. Systeri��,(3/3 Type �f Roofin (�/�-1 Ext. Finish 7- /1/ Int. Wall Finish
No. of Units Bedrooms
Addition
Remodel Moving Bldg. one _ ,L. — Fire Zone
Stories
Valuation �D
— 2 /JCa2�
Sewage System
Total Sq. Ft.
Use of Bldg. �j,f 4. Lief ' 0.d ,C -i�Q16
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.
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NORTH
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I hereby ce
as shown. -
SOUTH
ted i �� ect and there are no other structures located on this property except
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit 1✓
Heating Permit /
Yw
Sewage Permit
Plans Received -
Plans Checked _
Plans Returned.
Plans Picked Up
Plans Mailed ._._
rma ion sub,
Owne or Agent Date
A LAND USE OR STRUCTURE PER.MI MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
Issued
Building Per
e zone is
Receipt
Issued
1
'LP SHOWING LOCATION OF IUSSID+adCE ON LOT ij :ELK. F, CHESTER
FILLS 3 ADDITION, SECTION 29, T. 25 N. R. 44 E. W. M.
SPOKANE COUNTY, WASHINGTON.
NO MARKERS SET Survey for loan purposes only
. cale 1" - 30 ' Surveyed; 1/31/72
I hereby certify that I surveyed the above described property
and that I find the improvements to be on the premises in
question and that they d� not encroach on the property lying
adjacent thereto.
No improvements encroach on these premi.sec.
OWNER or BUnR
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