1972, 03-27 Permit App: J2327 Residencewear-
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County 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 must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
,TATER. Water supply must be approved by the County and State Health Departments. Where work °neater 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.
e APPLICANT FILL IN BELOW THIS LINE
a 0
Name of ne,.
er I �' ° ddress (/ 3' ' Lelle �/r
Architecil/k4 R_5,1-2/ Phone Fngineer
Contractor , h k.,[1e. , BIC//c's Address
Legal Description of Property (Give complete description from deed,
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Phone
Phone
Phone /t1411 C
DESCRIPTION OF WORK: New Addition
Addition
Size of Lot /005 °rt. / d'
Const. ,C/_ A. EDimensions ,.`� i� .r
t Frame, concrete, brick, etc.)
RoomsS Baths- 1 Hasement ✓ Fou
(Full, part, none)
Heat. System 0j. S Type of Roofing
•
Use of Bldg. 11? f /CAf
Garage or Carport Attached 2 CCA it
Remodel
/f1/4)-47-- E) F; z --r)
Moving Bldg. Zone / Fire Zone 3
Sewage System C/= f3:f e Stories / YY.9"'"
Total Sq Ft 2 Coo 0 Valuation %' C fserna
ndation Const, (1,0 <> C
C
Chimney/if, 1g Fireplace .�
(Kind) (Number)
O. Ext Finish / it — / f Int Wall Finish 9o9/ /C/`/ i1
No. of Units / Bedrooms a
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Priv-ite I)etatched
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
SOU TH
State License No,
-73^-tie's'
Ind, Ina, Acct. No.
REQUIRED
Plumbing Permit 1
Heating Permit A 1
Sewage Permit 1-e/ 4 fiefs `
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 on this proper t except
as shown. to r/
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
Your st aiadress will be L• /6 ,t7 ne,. iKT.'
Sewage Permit Number Issued Building Permit
Remarks
The zone is
Receipt
Form 523 Bldg. Code
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