1971, 07-06 Permit App: I4946 ResidenceCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAN® USE OR STRUCTURE PERMIT
U j
(72
GENERAL REQUIREMENTS PERMIT FEE.O r
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.
WATER. Water supply must be approved by the County and State Health Departments. Where work onvater 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. Wherethestructure 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 moyed 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 c . . ' Wiy2a Of 5 re 4 447j Phone �( /toy
Architect Phone m J Phone
Contractor.'F-61.7714z- Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
/ -Z 3-- Y/ JGC e 774/ 1 yd /
ddress
gineer
,ler 'ti kik w•/�4�� Q (d
DESCRIPTION OF WORK: New Addition
Size of Lot /i9'x /ya
Const. Ad 4... Dimensions ICX2j/a--,7jtta, r j11�6
(Frame, concrete, brick, etc.)
Rooms Baths .1 Basement & [[ Foundation Const
C 47 ��1I (Full, part, none) �2
Heat. Systems- Q Type of Roofing l fKp
Remodel
Use of Bldg. g[uirjrrtlf .+
Moving Bldg. Zope Fire Zone
Sewage System -Cecile Stories
Total Sq. Ft. [?#-P--- Valuation if i'DD
�nI �// 0.-.7-o 8y
(7,/ *or e7C Chimney — Fireplace
(Kind) (Number)
Ext Finish T / - // Int Wall Finish 0ty •i«G
No. of Units Bedrooms _jr
Garage or Carport Attached 061
,.Z MA.2
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
rn
rn
NORTH
Private Detntched
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-
SOUTH
I hereby,c ''fy t❑ tioR3ubptted
as shown. J`� / � //
is correct and there are no other
Owner r Agent
A LAND USE R STR CTURE PERMIT MUST BE ON THE PREMISES BEF
THIS IS NOT A PERMIT.
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
DO NOT WRITE BELOW THIS LINE
COKISTRUCTION COMMENCES.
ated on this property except
2
Your street address will be
Sewage Permit Number Issued Building Permit
Remarks
e zone is / r^
Receipt 53-V Iss e
Form 523 Bldg. Code