1971, 07-06 Permit App: I4947 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE... % oe
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 mast 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 oneater 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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner
Architect ��
Contractor �2%J!L
Legal Description
-2s' -YY
Phone
ddress W .. .. Phone /'s R %3)y
ngineer Phone
Phone
Address
of Property (Give complete description from deed,
k n7it y-/Xter
tax receipt, etc.)
4/a"` 4 - BIK 2
M.1 Pin/ as "
DESCRIPTION OF WORK: New v Addition
Size of Lot /Ab ,k /11
Const />;4fc!" Dimensions 9tX;/
(Frame, concrete, brick, etc.)
Rooms_ri Baths / Basement )t /G Foundation Const
(Full, part, none) /l
Heat. System Egg, Type of Roofing ec/f •
Use of Bldg. RES •, e1ri
Remodel
Moving Bldg. Zone
Sewage System Cerir e ?a.< Stories
/yin.
Arse n9
Fire Zone
Total Sq Ft.
Valuation /qjt o
(?Aarlg.4 Chimney Fireplace _,
(Kind) (Number)
Int. Wall Finish J}zy Wer -4-
No. of Units Bedrooms
Ext Finish %/ -1 /
Garage or Carport Attached
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem
and water supply lines.
NORTH
Private Detrnched
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-
I hereby cert' '•for
as shown.
SOUTH
bmitted is correct and there are no oth
r stru
State License No.
Ind. Ins. Acct. No.
REQUIRED
Heating Permit 0/ -�--r
Plumbing Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ures located on this property except
or A
A LAND USE 0 UCTURE PERMIT MUST BE ON THE PREMISES B
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
NSTRUCTION COMMENCES.
Your street address will be
Sewage Permit Number Issued
Remarks
L
/ 9ia /mess' e
�.-The zone is at Itsued
Building Permit tF6/t.11 Receipt 5533 I sued /
Form 523 Bldg. Code