1972, 07-12 Permit App: J3722 AdditionCounty of Spokane 1Hashingto!�
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 mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
MATER. 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 '.o enforce covenants or dedications.
APPLICANT FILL W BELOW THIS LINE
Name of Owner
Architect_
Contractor
Legal Description
N��
_�lddres
Phone_" .1 9h
gg
Phone Engineer Phone
Address Phone
X353 _ oy
of roperty (Give co lete descri9tion rom deed„ tax .ceipt, e
r ALE
DESCRIPTION OF WORK: New
Size of 129t. JrD X
Const -Dimensions i / X /
Addition )( Remodel
(Frame, concrete, brick, etc.)
Rooms— Baths --' Basement
(Full, part, none)
Heat. System ,Q,Q T pe of Roofing
Use of Bldg.
Foundation
Const.
Moving B1d Zone Fire Zone
Sewage System Stories / ci
Total Sq. Ft. /3.2 ' Valuation / (iv
Chimney
Garage or Carport Attached
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
— Fireplace
(Kind) JA '7t: t r
Int. Wall Finish 1- �j'j''{%'�/
No. of Units Bedrooms
Private Detatched
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines acd streets; (5) dimensions of buildings; (6) location of sewage sys-
4. dl
4. •
4 0
VQ
•
1
SOUTH
E.t rsr/,v4
OeitE
I hereby certify information submitted
as shown.
is correct and there
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received Ire—
Plans
/
Plans Checked t/
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
�- /..1- 7&
ner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
y
Issued
Building Per it
e zone 1s
Receipt Issued
Z z�
Farm 523 Bldg. Code