1971, 08-08 Permit App: J0492 Residence1
v +
Cosnty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
PERMIT FEE
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 most 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.
PPLICANT FILL IN BELOW THIS LLINE
Name of Owner '� G� J/.. i - ddress 6161 7c i7) Phonef �!- yL
Architect Engineer Phone
Contractor Address Phone
Legal Description of
Phone
Property (Give complete descrip/,ion from deed, tax rece t- etc.) —� /anti
-ea /9 c' eicA iy
— � �t
DES of Lot OR1 ' ji: Ne Addition Remodel
Size of Lot �^�
Const. -02"--\' Dimensions JL{
(Frame, concrete, brick, etc.)
Rooms `•45 'Baths7,--- Basemen%//' Foundation Const
(Full, part, none)
Heat. System ea- Type of Roofing
Use of Bldg. n.-1 /�,,,
Garage or Carport Attached V- `' a—
Moving Bld one Fire Zone
Sewage System ' /G Stories ®re--
01 Total Sq Ft .5 Valuation 2- "mCi
rX .a
ormti
Ext. Finish /a.t/a
Priv
Chimney/4d Fireplace ®W—
n (Kind) ,_ (Numbe )
Int. Wall Finish `irA
No of Units / Bedroomsr3
e Detatehed
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.
NORTH
AIP
SOUTH
s
N
y
Statetcp
Lnse No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit S/Y » 4
Heating Permit /
Sewage Permit [ X77"'
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
information submitted is ectd there are no other structures located on this property except
as shown. dee`
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
I hereby cert
Date
DO NOT WRITE BELOW THIS LINE
Your street address will be
e7 4 o
Sewage Permit Number Issued
e zone is
Building Permit T 44111/ Receipt 2 Issued
Remarks VVV
Forrn 523 Bldg. Code
i
' PLOT PLAN:
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4. I
Land and Building Dimensions, Location of buildings, driveway, etc. on lot.
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