1971, 01-26 Permit App: I3369 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 9920
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE..
PERMIT REQUIRED. A land use or structure permit is required byCounty 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
peerfor l 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. 4.
RESTRICTIVE COVENANTS.
which are enforceable
n
1
Elders should check provisions of covenants or dedications and easements running withj"ne land
rough civil aption. County Officials can not bring action to enforce covenants or dedications.
Name of Owner
Architect -.7... e
Contractor
Legal Descriptidn of Property (Give
,c
APFLIICrANT FILL IN BELOW THIS LINE
/W1�L, 'Ass` 51
Phone Engineer
• Address
complete description from deed, tax receipt, etc.)
�z kr1 . .41 Cfo/
__47„,4 , 2-
1
DESCRIPTIO OF WORK: New -
Size of liot /) ,/
Const? ' Dimensions 811 7 0
(Frame, cont t b ' k t )
Rooms
/ P G 41t/ itM C -Os
•V
Addition Remodel Moving Bldg Zo
Fire Zone64 3
Sewage System
Phone al -.6 -h G a a
Phone
Phone
re e, ric , e e.
Baths/ Basement Foundation
(Full, part, none)
Type of Roofing '63
Heat. Syste
Use of Bldg
uraee o
i 1
—Storiee
X ca -0 Total Sq Ft 1 o. n a Valuation
Const l . 7 Chimney Fireplace J
(Kind)
Ext Finish / /7/
PLOT PLAN
Private Det
(Number)
Int. Wall Finish
No of Units Bedrooms 5
atoll
Oc
w sketch with dimensions showing: (1) property lines; (2) street or road (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
1
GbAr ffeivj
ixbe
SOUTH
I her-. certify information submitted is co
shown. - �
enN
H
State License No.
3
— 0
/if C2L
Ind. Ins. Acct. No.
REQU ' ED
Plumbing Permit_ w/d
Heating Permit
_4_4al Alfwif
Sewage
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
t and there are no other structures located on this property except
Owner or Agent Date
A (ND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COM
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THI LINE
Your street address will be 14
/ // 77r
Sewage Permit Number Issued
atemarks
Building Permit
rJ / .nP
a / 41. -abs
e
e zone
Receipt
is
NCES
sued
) '11 \i(/
c \ SZi- \s4
Form 523 Bldg. Code
0
/14
_ t8
17r�Z %err
Q
-tv
'1
0
• • t ,Fps.s�
10
REVISIONS
NO. 'DATE
BY
•
•
DRAWN 9Y
SCALE
MATERIAL
CHK'D
DATE
TRACED
APP'D
•DRAWING NO.