1972, 08-28 Permit App: J4185 StorageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 5 1 U
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.
NATER. 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.
clearance must be obtained pertaining to set -back and ingress
STATE HIGHWAYS. Where the structure abuts a State Highway,
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and
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.
Highway, clearance must be obtained from the County Engineer and/or State
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running
which are enforceable through civil action. County Officials can not bring action to enforce covenants or
APPLICANT FILL IN BELOW THIS LINE
When a building is moved
Highway Department.
separate permit.
work must be
on a County
Name of Owner
Architect y Phone
Contractor ._ / / 1
Legal Descripti of Proper, (�y} ve complete description rom deed,
N.1,35
➢e S. �o �t S ./il e SE
or State
with the land
dedications.
Phone f(;3 8 0 R
gineer Phone
Address Phone
tax receipt, etc. ),`(�'�e(cJ�!'�'- Cl(O
/V W /�x , F. 3' / -23-2
Rte,0--raZE-it-rf-1
DESCRIPTION OF TORK: New Addition Remodel
Size o t r�
Consr�<
Dimensions -d iX
(Frame, concrete, brick, etc.)
Rooms / Baths ^" Basement '—
(Full, part, none)
Heat. System Type of
j
Use of Bldg.
Foundation Const
oofing
Moving ld .Zone
Sewage System ///"/
Total Sq. Ft. ,
Fire Zone
C J Stories
Valuation ODD
Fireplace
(Kind) (Number)
-004.1-'Int. Wall Finish
No. of Units Bedrooms
Ext. Fini
Chimney
Garage 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.
SOUTH
I hereb ertify information sub'tted
as shown.
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
orrect and there are no other structures located on this property except
g -2g- 7-2
ner or Agee Date
A LA ' D USE ! R STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
'.adrINA, 4 _ . - L yA
Issued
Building Permit
e zone i
ceipt g 7
Form 523 Bldg. Code