1972, 01-25 Permit App: J1713 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 1
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
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 eiisting 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. /7
RESTRICTIVE COVENANTS. builders should check provisions of covenants or dedications and easements runni g`with the land
which are enforceable through civil action. County Officials car. not bring action to enforce covenantor dedications.
Name of Owner
Architect (1*.t'
Contractor
Legal D: cription of
APPLICANT FILL IH BELOW THIS LINE
__Address ��I�Lr�Ll .�LlL Phone
Phone Engineer Phone
Address Phone
Property (Gi e complete description from deed, tax receipt,
VINE'S !I!!'� . t.'.'
DESCRIPTION OF WORK: New
Size of Lot
Const �/y�Q • Dimensions
(Frame, concrete, brick, etc.)
Rooms S Baths i Basement
part, none)
Type of Roofing
Addition
Heat. System
Use of Bldg.
Lizo
Foundation
etc.)
Remodel
Moving Bldg. Zone
Sewage System S. t. a --/‘
T
//YY Total Sq. F,
Const `-(9Y1 Chimney l Fireplace `
/ms
Fire Zone
Stories 1
Valuation /q/C-0-0
(Kind) (Num
Int. Wall Finish
Ext Finish
Garage or Carport Attached
No. of Units Bedr
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 hereby ertify 'nfor
as shown
SOUTH
tion su
itted is correct and there are no other str
Owner or Agent
State License No. p
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
tures located on this property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT 4 PERMIT.
Your street address will be
Sewage Permit Number_
Remarks
DO NOF WRITE BELOW THIS LIME
e'J
Issued
e zone 1s
Building Permit.)_47/3 Rene ipt0.22.1Issued
IJ
Forrn 523 Bldg. Code
1
Changed sjryle of house so submitted new plot plan
some extra sq. footage but not eno
to make new permit worthwhile
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F./1.A. APPROVAL Ofil.
SPO. HEALTH DIST
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