1971, 11-19 Permit App: J1363 Residence`• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
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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 wltb the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Slater 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 toe force covenants or dedications.
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Phone M/4 // -.7,54
Phone
Phone
APPLICANT FILL In BELOW THIS LINE
Name of Owne
Architect Phone
Contractor
ddress
Engineer
Address
Legal Description of Property (Give complete description from deed,
—�Z.3
z �= ko7/
DESCRIPTION OF WORK: New !� Ad�ition
1 �
Size of t 7 77/ X /2.9..1 7
Remodel Moving Bldg Zone
Sewage System t
ConsG.?
tax receipt, etc.)
. � .s-ows 41.14
�>~-e4•r,4c1_, Dimensions L Y f rJ
(Frame, concrete, brick, etc.)
Rooms C1 Baths Q Basement Layoundation Const
(Full, part, none)
Z3 Type
Heat. Syste
Use of Bldg.
Garage or Carport Attached
Total Sq. Ft.
Fire Zone
i Stories
Valuation 7 UD(Jf`
ChimnFireplace
(Kind) ,{� (Number)
Ext Finish 77/1 / Int. Wall Finish /( /TALC
No. of Units . Bedrooms .71
Private 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.
m
-y
NORTH
SOUTH
I hereby certify_r ion . .
as shown.
State License No.
Q(�.:3— /—J/S17
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit 17 -
Heating
Heating Permit ►�
Sewage Permit (7-
Plans
7
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ed is correct and there are no other structures located on this property except
/1--
n or A:«,, Date
A L - ' D USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
Building Permit
The zone is
Receipt 325-8 Issued
form 523 Bldg. Coda