1971, 05-20 Permit App: I4418 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT/ G°
GENERAL REQUIREMENTS PERMIT FELE✓✓ ll
PERMIT REQUIRED. A land use or structure permit is required byCounty Resolution to erect a building or structure of any
kind or alter any building or structure already erected, orate 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.
Name of Owne
Architect
Contractor ' Address Phone�_�_
Legal D � cript�';on,of Property (Give complete descry.tion from deed, tax receipt, etc.)
APPLICANT FILL IN BELOW THIS LINE
Phone
Address
Engineer
29 g._4:);27
Phone hi') / rc5
Phone
DESCRIPTION OF WORK: New X Addition
c
Size of Lot y • / P /yT
Const iL. r a Dimensions 41‘.4"2-9
(Frame, concrete, bricA etc.) j�,_,(�`}/'
Rooms Baths Basemen" Fou
(Full, part, one)
Remodel
Moving
9 Sewage Syste
' 9e vx2 / Total Sq. Ft. j t/0 Valva
Bldg. Zone
ndation Const
i./
Heat. System `®Type of Roofing Ext Finis
Use of Bldg.—L%���i-r-de � � No. of Units Be, ooms
Garage or Carport Attached Private Detatched
Fire Zone CJ
Stories /
9-529°0
lace —2 --
(Number) (Number)
Chimney Fi
T- (Kind)
°I Int/Wall Finish
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.
�GC/
NORTH
SOUTH
Slate Licenses No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit.
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located ogr this property except
as shown. �/ /I 'I'"r V
/� Owner or( Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTIO
THIS IS NOTA PERMIT.
J/
DO NOT WRITE BELOW THIS LINE
COMMENCES.
Your street address will be Q
Sewage Permit Number Issued B lding Perm
Remarks
t
e zone is C`
pia
Receipts-0rp Issued
Form 523 Bldg. Code
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