1971, 08-08 Permit App: J0494 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT Del°
GENERAL REQUIREMENTS PERMIT' FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or st ucture 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.
lATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
he surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos, 45-133 and 47.235.
ET -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 thestructure 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 IN BELOW THIS LINE
Name of Owner t(/a �J Lo N/ahYO -N Address 1±A_Zt_/7 Phone / ^)"?'Z
ArchitectPhone Engineer Phone
Contractor Address Phone
Legal Description of Prope ty (Give complete de cri tion from deed, tax r ceipt, gtc.)
.fir eAcie iy - s, yv t4 rc c V
0Y-sse '- v 'a o
DESCRIPTION OF WORK: New Addition Remodel Moving
/Bld
U
nr/
C
Fire Zone
,..
Size of Lot CPO—
Sage System �
Const._ --Dimensions .2°351:=3r#14 9,YewaSTotq Ft
(Frame, concrete, brick, etc.)
Rooms Bather Basement,V/Founation Const ( iove�G
(Full, part, none)
Heat. System �" I Type of Roofing
Use of Bldg.�f '
Geroge or Carport Attached Pri
i
— FI/✓
Stories irna---
Valuation Oo 692240)
Chimney !L C Fireplace 0714---
Vela
' (Kind) (Numberr)
Ext Finish ,t4 Int, Wall Finish Jr/IUa/I
No. of Units Bedrooms
ite Detatchod
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.
6i)
NORTH
SOUTH/
I hereby y information submild'¢d' is, Correct and there
as shown.
m
Ts
N
N
State Lice No.
Ind. Ins. Acct. No.
REQUIRED /
Plumbing Permit ilr/ 2
- o?
Heating Permit //!7
Sewage Permit 6Ln..r Gm.,
a
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONS RUCTION COMMENCES.
THIS 15 NOT A PERMIT.
on this property
/%
except
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
tge. _ Rea
Building Permit
zone is
Receipt/✓` G,
Form 523 Bldg. Code
..i s.
.l.•
f
PLOT PLAN: Land and Building Dimensions, ,Location o lain dIn
•
5.0
rs-
A
.3-0
id A -/C,
.}W«P-_
PL
,2y
5Y,
4G "
• T - ♦ I ' aer
driveway, etc. on lot.
ti Lc.
c;20,° -
?i/
ll
0
z
0
to `
e
PC,9
040 Pthated !oII.6...
•
fi
o c
•
•
/07 c to GAJ/d
a/ v( 4fc r-1ala