1971, 08-06 Permit App: J0495 Residence4
3
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT l
GENERAL REQUIREMENTS PERMIT FEE -I
D
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
I, 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
iHighway, clearance must be obtained from the County Engineer and/or State Highway Department.
!T 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.
PPLICANT FILL IN BELOW THIS LINE
Name of Owner
Architect () Phone
Contractor
ddress /af d.
Phone j . r
_engineer Phone
Address Phone
Legal Description inf Property (Give omplete description from `dee , tax receipt,netc.)
•407' r.O/ f,k J17� v; to .00 -7,:i -e7. -Z70.)/
�/f ' /V2/
DESCRIPTION OF WORK: New.w. v Addition
Size of Loth� AS 'DX 0t 7'Ser v�
Const /'/%/'v Dimensions
(Frame, concrete. brick, etc.)
Rooms Baths Z Basement Ott Foundation Const.
//'+, (Full, part, none)
Heat. System C. ---e /-�� Type of Roofing
Use of Bldg. 1/ `a,
Remodel
Garage or Carport Attached
d-�
7
Moving B15,.4P ''Zo//ne, / Fire Zone 3
��1Sewage System <---Yc Stories �`'—"
(
24rottal Sq Ft. y Valuation ,-2 C t/
gin e& -r - e- Chimney O Fireplace 41714—
(Kind) (Number)
a
Ext Finish
14fW Ctec Int. Wall Finish 440.4#
No. of Units Bedrooms
Pneate 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.
-4 y
1
NORTH
jet, c,22,41 6eez25)-
I hereby
as shown.
State Li cenNo.
Ind. Ine. Acct. No.
REQUIRED
Plumbing Permit-' #57)
Heating Permit-��-=r '� '
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
ify information submit is orrect and there are no other structures located on this property except
Owner 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
Sewage Permit' Number
t
Remarks
DO NOT WRITE BELOW THIS LINE
bea J)
Issued Building Permit
e zone is
Receipt 3
ssued
Form 523 Bldg. Code
1 1 L _ -_ .
PLOT PLAN: Land and Building Dimensions, Location of buildings, driveway, etc. on lot.
Bui A.. "�.FFAMILY ACME
J---- DA E L G.. CONDRON, BUILD
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BOX7827
_.,SPOKANE,. WASHINGTON 99208
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F.H.A. APPROVAL ONLY-- - --'-
SPD. CO. HEA4TH DIST.