1971, 09-13 Permit App: J0650 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
-1
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 mast 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
Bast 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
SATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
C.UNTY 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 111 BELOW THIS LINE .--;-----V—
_ �/
Name of Owner/— / -ccs-=- — Address 2 /0 S ' /`S . phone ;- V `�,3
Architect Phone Engineer Phone
Contractor y""� Address Ph
etc ) / 6 e.4. __tics
Legal escription of operty (Give compl to description from d tax receipt,
�o . 77 %U //9e -/ /r/=..:
DESCRIPTION OF WORK: New
Size of Lot
Addition Remodel Moving Bldg. Zone
Sewage System
Const ...— Dimensions -.6..k- .7'0
(Frame, c,o .crete, brick, etc.)
Rooms Baths ent Foundation Const. __ c Chimney Fireplace
art, none) (Kind) (Number)
Heat. Syste Type of Roofing Ext Finish /-1/
Int. Wall Finish
Use of Bldg. /,a No. of Units Bedr •ms '
Garage or Carport Attache
Fire Zone
t 5 Stories
7
Total Sq. Ft./61 0 Valuation s-60 G C)
Private Detatched
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-
temand water supply lines.
m
NORTH
tit
yito
I hereby c
as shown.
State Lice se No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
en Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
fq�tion submitted is correct and there are no other structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES [BEFORE CONSTRUCTION COMMENCES.
THS IS NOT A PERMIT.
Your street address will be
DO NO) WRITE BELOW THIS LINE
Sewage Permit Number Fd 6 --
Issued o,
Building Per i
Remarks
e zone is
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