1972, 06-21 Permit App: J3483 ResidenceCounty of Spokane, Washingtoi
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE_ _
kndITrEQR® land or structure is y c Resolution eT building structure the
kind or or tohangealand use. Constructionmust conform with
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 enforceable Builders kCountyprovisions
Officials covenants
not bring dedications
toand
enforcemcovenantsior dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner
Architect
Contractor
Legal De r .tion of
Phone
ddress
Ake Aeij9630-7
Engineer Phone
Address
r1er,; (Give complete description from deed, tax receipt, etc.)
DESCRIPTION OF WORK: New
Size of Lot fJ
Const. l Dimensions
(Frame, concrete, brick etc.)
Rooms
Heat. System
Use of Bldg.
Baths
Addition
2 /1
Remodel
f?/<
Basement Foundation
(Full, part, none)
Garage or Carport Attached
Typ of Ro
,-tofre
Const
Moving Bld
Sewage System
Total Sq. Ft.
Zone
Fire Zone
Stories
Valuation
2330
Chimney�f ! Fireplace
(Kind) (Number)
Ext. Finish 77/7 Int. Wall Finish
No. of Units Bedrooms
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.
/4y
L,„
\Ef
I hereby certify information submitted correct and
as shown.
Owne or A�eht
A LAND USE OR ST UCT
THIS IS NOT A PERMIT.
there are no
S
icense No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mail
other structures located on this property
except
Date
E PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW T IS LINE
Your street address will be AnglillrireV5 0
■
Sewage Permit Number Issued
Reaarks
Building P it
e zone is%°, -T
Receipt D6S Issued e-- —7Z
Form 523 Bldg. Code