1971, 03-17 Permit App: I3705 ResidenceCounty of Spokane, Washington
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 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.
Name of Owner
Architect ..., r—
Contractor410-
APPLICANT FILL IN BELOW THIS LINE q C1Ao 6
E. ddress 2.S Phone
Engineer Phone
Address ✓ Phone
Phone
Legal Description of Property Give co plete description from deed, tax rete t, etc.)de
/ 7L / 2 , ve.e.p �' 7t—%co // 2 / tC'e �'�' *ACr'�o do d '7't' 4:.• 7`' �t3/aC.,�" 6- /Yie 1..r 4-rG 61c/ Z,
DESCRIPTION 0 WORK: New
Size of Lot
Const.
(Frame, co rete, brjck,Fetc.)
Room
el?
Dimensions
Heat. System%�As
Use of Bldg.
Garage or Carport Attached
Addition Remodel Moving Bldg. Zone 1 Fire Zone )( /
Sewage Syste Stories r
2:! '1 1 - Total Sq. Ft. /80D Valuation 2E4060
Li
asementFoundation Const. „r Chimney Fireplace
71, part, nbne) (Kind) (N mbe )
Type o oofin '
g�/� Ext. Finish A% �. Int. Wall Finis
G�jl dG. /Nle i� , Rie
No. of Units. s
`boua/e ,dra f e1 41/4/4/Cl/C.111
Private petatched
PLOT PLAN
Draw sketch with dimensions showing: (1)
.proposed buildings; (4) distance to property
em and water supply lines.
“,
NORTH
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
3''
•
p do 6/)
06
8
SOUTH
/4,
is correct and there are no other structures located on this property except
I hereby certify information submitted
as shown.
Owner or Agent
State License No.
o / 1067
Ind. Ins. Acct. No.
�./F 72174
REQUIRED
Plumbing Permit
Heating Permit a
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
51 I DO N WRITE BELOW THIS LINE
Your street address will
Sewage Permit Number
Remarks
e zone is
Receipt
Form 523 Bldg. Code