1972, 06-12 Permit App: J3332 ResidenceCounty of Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAPD USE OR STRUCTURE PERMIT95 18
GENERAL REQUIREMENTS PERMIT FEE ..VP-----
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 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 to enforce covenants or dedications.
•
APPLICANT FILL IN BELOW THIS LINE
Name of Owner
Architect Phone Engineer Phone
Phone
Legal Description ofoProperty (Give complete description from deed, tax receipt, etc.) 4.1"1-2 /3�JX'2...
--44}14rS» lla #7 /Si ✓At4. Llie� C.r.�Sf— •
- 'E y__Cee--21 4 ...2s"
ddress /,!/ 5V_•L2 / t.s /vn,i6 lay
Phone t9.ii5�
Contractor
Address
DESCRIPTION OF WORK: New ✓ Addition Remodel Moving Bldg. Zo
Size of Lot intrz Sewage System
Const Mame— Dimensions Sic -t -C j-Bdse :f%0 ti- yak' Total Sq. Ft.
(Frame, concrete, brick, etc.) t eat
Rooms Baths IrBasement/x(( Foundation Const. e9.tlPKe.J`G
(Full, part, none) J�
Heat. System i4/2, Type of Roofing f?sap.
Use of Bldg.
Garage or Carport Attached
Ext Finish 7 -
e J__ Fire Zone
Stories /.S ,9J?
Valuation .24Ctc
Fireplace
(Number)
Int. Wall Finish At/ es? /t'
No. of Units __L. Bedrooms
Private Detatched
Chimney Chimney
(Kind)
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-
em and water supply lines.
NORTH
I hereby
as shown. ?�
y
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permi
Heating Permit
lu�w Sewage Permit
in
NY
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
motion s,ubmitted is correct and there are no other tt uctures located on this property except
kaank
J o
b".
or Agent
r
�-� Date
A LAND US @ OR STRUCTURE PERMIT MUST BE ON THE PREMISES +ORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
TMJ 7/k1»441 .g
DO NOT WRITE BELOW THIS LINE
Your street address will be JAM S. 414 t a__The zone is /
Sewage Permit Number Issued Building Perm Receipt672 I sued
Remarks
Form 523 Bldg. Code