1972, 03-24 Permit App: J2305 AdditionAPPROVED AS NOTED -1
Spokane County Bldg. Code i PP. I
�ounty of Spokane Washington
Date____GILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
�.. _. --TION FOR LAND USE OR STRUCTURE PERMIT ll
GENERAL REQUIREMENTS PERMIT FEE.._ /5- 69°
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an7
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.
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 enforce covenants or dedications.
APPLICANT FILL IF! BELOW THIS LINE
by
Name of owner ��_/��.�..,.�+_• ddress .5�� Phone 9.,7i�- c�'�6'
Architect Phone Engineer Phone
AddressPhone
etc,.) 135 3- (S/
(147 -1 -0 --
Contractor
/ .-
Contractor
Legal Description of Property ive complet description from dee tax receipt,
DESCRIPTION OF WORK: New Addition
Size of Lyot. O--1
-L4 i` j2 p
Const T/L�4N1.4 Dimensions /Or / 3 ,
(Frame, concrete, brick, etc.)
Rooms ... Baths / Basement#*4' u- Foundation Const
ull, part, none)
Heat. S Ystn (J • ,
r of Roofing _fir
Use of Bldg. �.B — t^.,
Remodel
Garage or Carport Attached
Moving Bldg. Zone / Fire Zone
Sewage System Storie
Total Sq. Ft. ,. 7C Valuation
eke
( [ cf Chimney
Ext Finish
1
Fireplace
(Kind) (Number
Int. Wall Finish
No. of Units ✓
Private Detatched
Bedrooms
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.
1
NORTH
.4
SOUTH
I hereby certify information submitted
as shown. 171t-tt_a Q ` 071
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
is correct and there are no other structures
located on this property except
Owner 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
Issued
Remarks
! The zone is
Building Permit ,N ceipt
;�3o)
Issued.3'
�( i)
Form 523 Bldo V [n