1972, 07-10 Permit App: J3695 AdditionAPPROVED AS NOTE
SPokane Bldg_ Co&
Coun of Spokane, Washington
RTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
FOR LAND USE OR STRUCTURE PERMIT �y 5
GENERAL REQUIREMENTS PERMIT FEE. /V
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.
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.
APPLICANT FILL IF! BELOW THIS LINE
by
Name of Owne .. • y -. ddress
Architect Phone Engineer
Contractor Address
Legal Description of roperty (Give complete descr ption fr
%14- '/3 24-',
Phone
Phone
deed, tax receirt, etc )
DESCRIPTION OF WORK: New Addition
Size of Lot
Moving
�( 9' /' Sewage System
Fire Zone, -
Stories
Const / i iii Dimensions / 9 ' X 1? s 4 Cis2 "y �G / Total Sq. Ft. 6 4 4/ /i iT tluation ���-r �1X�-
(Fram co�nf rete, brick, etc.) --,� 13
Roo `f Baths Basement — Foundation Const n-enf-e.2 Chimney Fireplace
(Full, part, none) (Kind) / (Number)
Heat. System - - /-- /^` Type of Roofing s/ ._ �Ext Finish / // / Int. Wall Finish ,,a'
Use of Bldg. f� dcr. '�o res.- _ � �irJe ' C Jr 3 !.L'I /i /hs, ;5 UY, c/ __ 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.
m
els
NORTH
hereby c
as s own.
ify informati
SOUTH
ubmitted is correct and there are no other structures located on this property except
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
in Heating Permit
Sewage Permit
M
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will b
Sewage Permit Number :sued
Remarks
DO NOT WRITE BELO
SOS
THIS LINE
Building Permit
zone is
Receipt
Form 523 Bldg. Code
j. OU /S r 6 /irec// fe
! L ?et /7 Jc o ci
APPROVED AS NOTED
Spokane C un ' Bldg. Code Dept.
Date
LL 466 -3675
All plywood used structurally shall melt the
rofformonce standards and all other requirement§
of applicable U. S. Ccmmercial Standards fdl• the
type, grade and species of plywood and shall b4
so identified by an approved testing agency.
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