1971, 08-06 Permit App: J0278 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMI/�� U%
PERMIT FEE /
GENERAL REQUIREMENTS
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of MY
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 vork 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 -RACK 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 1s 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 cannot bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner F i FLnn.TRACT 3 Address/Va4J1r Han ry p'.. Lib'r1y Lags wit Phone AL _C-.52,(70
Architect Syt l.Pstttr Assaf - PhoneRI7-VVyrSlgineer Phone
Contractor 4 a in a Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
t-et74- 6 Stock f MILL y/Elv FSrArES pntV3 - /00ti
DESCRIPTION OF WORK: New ✓ Addition
Size of Lot 7 / y 12?
Const. Fr&m M. Dimensions
(Frame, concrete, brick, etc.)
Rooms_'—Baths Basement Fo 11 Foundation Const t 'A'C Yin F Chimney Fireplace a--
. (Full, part, none)
Heat. Systeme-a f Pprnae P Typeof RoofingA5pha it bier Ext. Finish/Puts/ill/RUP19/jnt. Wall FinishD''y iv))
Use of Bldg. )JW-w+ya Res 1 e P n c o tr-a a S e -sttA t hcls No of Units Bedrooms
Garage or Carport Attached ti - A 'e
Remodel
4/2. x fl i t
X SO
Moving Bldg Zone 1 Fire Zone
Sewage System 4-e -" Stories
Total Sq. Ft. 34ay fl? j Valuation 2;a6 00 0
3
(Kind) (Number)
Draw sketch with dimensions showing: (I)
proposed buildings; (4) distance to property
tem and water supply lines.
I hereby cer
as shown.
y in
Private Detutehed
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
0
t/t State License No.
NORTH
/2-1 /p
go
Ott
1"
ormation submitted
O
2,x.3 -q/- 1207,
Ind. Ins. Acct. No.
REQUIRED
(/ %
N IIre
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
rIi
Owner or Agent :!te
A LAND USE OR STRUCTURE PERMIT MU • ' ISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
00.!
OW THIS LINE
Your street address will
Sewage Permit Number
Remarks
be O (L�. 0
Issued
Buildi
rmit
)
e zone
Receipt
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r—
Form 523 Bldg. Code