1972, 06-12 Permit App: J3331 ResidenceCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT,,
GENERAL REQUIREMENTS PERMIT FEE 95'eD
PERMIT REQUIRED. A land use or structure permit is required by Counti Resolution to erect a building or structure of say
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.
NATER. 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 and 41.235.
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
Name of Owner 4r-4,1/2444/Address phone Oft6'9x4'
Architect Phone Engineer Phone
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tux receipt, etc.) 2j/ K Q /4/X 1
Wb[Fet•cr "4
1241RYAaCA
- — 4. Aljt..1 I_.7
DESCRIPTION OF WORK: New
Addition
Remodel
Moving
Size of Lot re X /az: Ott Sewage Syste
Const. Met Ate Dimensions 1 PI I ' fly p_.yt"'L nrr Total Sq. Ft.
(Frame, concrete, brick, etc.) /
Rooms_ Baths 3 Basement &Ze Foundation Const Mrltt.t.ee lam,
(Full, part, none) �y
Heat. System Erea Type of Roofing I "Awrt Ext Finish r/–//
Use of Bldg. ea» A/B.wia
Garage or Carport Attached
Bldg. Zone 4 -..—Fire Zone
m sir id
Chimney
Un„; 44- EVA/ erAi 1
PLOT PLAN
Draw sketch with dimensions showing: (I) property lines; (2) street or road locations; (3) location of 'existing and
ed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
water supply lines.
Stories 44E–
Valuation -'4; dao
Fireplace
(Kind) (Number)
Int. Wall Finish PR'rVzilf-u
No. of Units / Bedrooms
Private Detatehed
NORTH
I hereby
as shown.
SOUTH
on submitted is correct and there are no othe
State License No.
123-6i -/. 6a.t
Ind. Ins. Acct. No.
/4,, 7?)
REQUIRED
Plumbing Permi
Heating Permit 4
Sewage Permit /fit -Cit&
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
uc
ures located on this property except
1'
Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES B ORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
644 744 4)
Your street address will be
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
`. i' far
Building Pe
e zone
A Receipt
ilita
is K/ 1/4514:44;14
Issued
Form 523 Bldg. Code