1972, 02-14 Permit App: J1865 Residencei
County ®f Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 992
O
APPLICATION FOR LAND USE OR STRUCTURE PERMI
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 most 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 47235.
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 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
Architect
Contractor
Legal Descript
4b [Q;..
_ZtarzeitAinLJNCl4 Address LYt1.1 f arks.',/.• Phone
Phone Engineer Phone
Address / Phone
ion of Property (Give complete description from deed, tax receipt, etc.) Lt G ofit' J
z.r def J4-ierJr.{ .223 -514/ -Jae 1t,V- It.LPenosr ztd/
DESCRIPTION OF WORK: N- Addition
Size of Lot_/a X fie
Const. rrd,vc Dimensions -VA 2C •I Reid nay
(Frame, concrete, brick, etc.)
Rooms tg. Baths a Basement Atte
(Full, part, none)
Heat System E. 41, V, Type of Roofing
Remodel Moving Bldg. Zone I Fire Zone
Sewage System Sy,14 a Stories Sir , i f/2
Total Sq Ft. ate it Valuation .=1t ac 4'
C'.t C.
• - .72 x.25'
Foundation Const
Use of Bldg.
Garage or Carport Attached
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
1,)
NORTH
&Ceti'fit-
Ext Finish
r/-//
Chimney Fireplace x—
(Kind) (Number)
Int. Wall Finish %%%rya/0AZ
No. of Units Bedrooms
Private Detatched •`-
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines acd streets; (5) dimensions of buildings; (6) location of sewage sys-
SOUTH
I herebycertify i erga'tYpn submitted
as show
r`,2
Cner or�Agent Date
A LAND USE O STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
s correct and there are
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y
State License No.
Ind. Ins. Acct. No.
/Gm ne
REQUIRED
‘1:J
Plumbing Permit.f f• •
/
Heating Permit y iiJrri.:!•, vm/ /'o'p
Sewage Permit /Ngsc a Litt
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
/y /072
DO NOT WRITE BELOW THIS LINE
Your street address will be SI 1111 ahie /reel
Sewage Permit Number Issued Building Permi
Remarks
e zone is
Receipt
Form 523 Bldg. Code