1972, 08-07 Permit App: J3999 ResidenceCounty of Spokane, Washington
BUILDI4Cr CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMITdf
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GENERAL REQUIREMENTS PERMIT FEE.. _-96
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.
NATER. 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 wih the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or at ions.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner 7 // M S 0 liIe A/C46 Address 6.3c e 4"' i $ 'r/7
Phone Engineer Phone ►' -
Contractor Ae/1+VOL Ll,i c C ilJ 5 -r Address t" _3 C 75-T
Legal Description of Property (Give complete description from deed, tax receipt etc.)
Lori, !t, Cie 6 ciRilx, O, " — s /1S'
-2 S" 3 a._ _ /./. 4 y
DESCRIPTION OF WO K: New_AG'*Addition Remodel
Size of Lot WO
_
0®1 ' N6.1-0
Phohe
Architect
Const. I -/A Nrl L Dimensions
(Frame, concrete, brick, etc.)
Rooms •5- Baths Basement Foundation Const
rrJ (Full, part, none)
Heat. System
Use of Bldg.
Type of Roofing (>77, /71 /1
Moving Bldg. Zone
Sewage System �11/ Storie 7 -----
Total Sq. Ft. -JLC ...52 Valuation ,5-6-1
d- -o •5 ----
(-"Left(
Cleft(r c 7-4-. Chimney Fireplace
--r--- (Kind) (Number)
/ / /7 Int. Wall Finish /71).- w/1 //
No. of Units Bedrooms
Private I)etatched C 4''i /c_=
Phone 'PH e -
0457770A1
Fire Zone
Ext Finish
Garage or Carport Attached �� J
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.
m
ut
NORTH
.y
‘y
A
v
a
I hereby c' i y infor
as shown.
SOUTH
tion su
s correct
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST
THIS IS NOT A PERMIT
Your street address will be !
F-1:1\
StateLic�.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
on Heating PermitX.
Sewage Permit
An
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
Date
E ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LIME
Sewage Permit Number Issued Building
Rerks
P
rm
t Receipt
3