1971, 10-22 Permit App: J1091 ResidenceCounty of Spokane, Wadd!ngton
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BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 r�i
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 nforce covenants or dedications.
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Name of Owner Address
APPLICANT FILL IN BELOW THIS LINE �lj �?��, q q
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Architect
Contractor
Legal Description of Property (Give
ii kir /Q Nil RA 13,E4V F'4+JVc,
Phone
Engineer
Address
Phone
Pre ,/'
complete description from deed, tax receipt, etc. )-/Lla�'ZL ' `? q_5 7/
DESCRIPTION OF WORK: New_ �' Addition Remodel
Size of L 4- % e% 4 /33
Moving Bldg. Zone / Fire Zone
Sewage System uv aieli-e.,., Stories / 4)
Total Sq. Ft. '• Valuation / / 06W
Fireplace /
(Numbe
Const. �4-0.444-1- Dimensions
(Frame, concrete, brick, etc.) �����//
Rooms �� Baths / Basementld Foundation Const.
(Full, part, none)
Heat. Syste /"k Typ of Roofi g
Use of Bldg.l//,�ff�4./
Ext. Finish
Garage or Carport Attached
2f .
Chi ey
(Kin )
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
N
NORTH
Int. Wall Finish
No. of Units Bedrooms
Private Detatched
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
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I hereby erti%y informationnsubmi tet
as shown.
ner or Agent
is correct
and there are
State License No.
OA
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
X11 Plans Checked
41,4 Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this
;-7/
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFOG CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
property except
Your street address will be / J y e l
Sewage Permit Number Issued
Building Permit
Receipt — Issued