1972, 01-25 Permit App: J1714 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.
SWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
ET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
)east 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
TATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining
and egress. to set -back and ingress
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, e.tc.) require a separate permits'
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 -C e0t-rte_
ddreas �� .✓ L�—+� <<-�>! r'- Phone L' U
Architect Pho Engineer Phone
Contractor �-✓`fo --
Legal Description,of Property (Give complete,de,cription from deed, tax receipt, etc.)
Address _ Phone
•€./ 3 3 (- /
DESCRIPTION O}VORK: New `(Additio
Size of Lot
-p_. s'•
Dimensions -�� - 7
Remodel
concrete, brick,fetc.)
_Baths l ,ment Foundation Const
'part, none)
Type of Roofing
Moving Bldg. one
Sewage Syste
Total Sq. Ft.
Heat. Syste
Use of Bldg.
Fire Zone
IC -/-Stories
Valuation / ` r
Chimney Fireplace
(Kind) r (Number)
Ext. Finish Int. Wall Finish
No. of Units Bedrrooms
Gfr;igc or Carport Attached
Private Detatched
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.
NORTH
I hereb
as shown. i
in
SOU T
ti'lu submit
State License No.
Ind. Ins. Acct. No.
REQU I¢ED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
correct and there are no other structures located on this property except
.-7
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
C) DO NOT WRITE BELOW THIS LINE
Your street address will be .2) C; --/C12"-2
~
Sewage Permit Number Issued Building Permit!
Remarks
r
_be zone
//Receipt (�� Issued
Form 523 Bldg. Code
Changed style of house so submitted new plot pl n
some extra sq. footage but not enough
to make newpermit worthwhile.
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Par 4. Aviv 41.,
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