1971, 03-30 Permit App: I3844 Addition• 9
County 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
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 workonwater 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 thestructure 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 IN BELOW THIS LINE
Name of Owner
Architect
at.s-7,6V Address ''77"3 ;LO, 4. Phone71,'i-O/O%
-S-.A-.vtr'• Phone Engineer
Contractor
Legal Dyscript ion
id
Address
of Property (Give complete description from deed, tax
// �r . Clc..e—/„."
Phone
Phone
receipt, etc.) %i
7 r
DESCRIPTION OF WORIK: New Addition Remodel
Size of � J: o' x i t� f
Con , %./i,. wimensions
(Fr:' e, coperete, brick, etc.)
7 3 -Y;u Z.
Moving Zorn Fire Zone
Sewage System ' _ _ - Stoo qs
Total Sq Ft yaluatidR 44-r'
/ �S
T
Basement Foundation Cons --li Chimney Fireplace
(Full, part, none) (Kind) ! (Number)
Heat System l./ Type of )4ofing 5 Ext Finish Int. Wall Finish
Use of Bldg. No. of Units Bedrooms
Garage or Carport Attached
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Private Detutched
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
\t
' lag
r
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37
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SOUTH
I hereby/,dertify information sy($itted is
as shown.
State Ltcense No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Perm$-�
Heating Perini
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
correct and; here are no other structures located on this property except
e /
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT
BELOW THIS LINE
J -30 -2/
Date
CONSTRUCTION COMMENCES.
Your street address will be � . 41P / / �L�Z re zone is 11111?-..._ _
Sewage Permit Number Issued Building Permit 3 7� Receipt iJssue-
Remarks
�.
Form 523 Bldg. Code