1972, 07-07 Permit App: J3671 ResidenceCounty of Spokane, ai/oshingfo�e
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.
WATER. Water supply must be approved by the County and State Health Departments. Where work onwater 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 and47.235.
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 IH BELOW THIS LINE
�Up
Name of Owner - ' ' -.- . ddress
Phone t-7Yl g c y
Architect Phone Engineer Phone
Contractor $ t_fl _ Address Phone
Legal Description of KProperty (Give complete description from deed, tax receipt, etc.).%
—_ lit„L tai eACI6� In Aft la VP Q '1i- : 5 rrr�G�P< ��lE'r
-- SE.— ter -4.7 T2ni R vv
f -
DESCRIPTIO NryOF WORK: New i ' Addition
Size of Lot A'Q X / 3a
Remodel
Moving
Const &t hs e Dimensions
(Frame, concrete, brick, etc.)
6/K 41 5I-
Rooms cr ' Baths _.2___ Basement Fin_ Foundation Const.
1 (Full, part, none)
Heat. System F/3is Type of Roofing
Use of Bldg. 470j dein* c
Garage or Carport Attached
Bldg. Zon
Sewage System
Total Sq. Ft.
dde/Cntlle
8Aft . Ext Finish
eke 64 (AACL aXe.ao
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.
7-1-1)
/ Fire Zone _d: --
Stories �.—
Valuation ayrlo
Fireplace
(Kind) (Number)
Int. Wall Finish �R.A
No. of Units / Be ooms
Chimney
Private Detatched
NORTH
I hereby c4,O'fy in
as shown,
SOUTH
on submitted is correct and there are no oth
i r
`E l
ner "tent
A LAND USE Oit'STRUCTURE PERMIT MUST BE ON THE PREMISES BE
THIS IS NOT A PERMIT.
State License No.
GCd1
Ind. Ins. Acct. No.
l6D 074'
REQUIRED
-.4
Plumbing Fermi
Heating Permit
Sewage Permit Pio tVe/L
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ture
located on this property except
R `CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
! it
Issued
Building Permit
c zone is PaFf_iss. ed
Receipt Is ed
Form 523 Bldg. Code