1972, 09-26 Permit App: J4545 MH• 1
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS �-PE IT 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.
WATER. 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 au 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
Contractor
_Von OU /
hone
ddress 9?O7 E 77,Cfi Phone Gat. -a po
_Engineer Phone
Address _ Phone
receipt, etc.) /0 7—
Legs Description of Property (Give complete description f om deed, tax
DESCRIPTION OF WORK: New
Size of Lot 7,5-1
Const. Dimensions
Addition
Remodel
Moving Bld
Sewage System
Total Sq Ft 7
/z —Ga
(Frame, concrete, brick, etc.)
i
Rooms—� Baths __/_ Basement
(Full, part, none)
Heat. System So.-. Type of Roofing
Use of Bldg.
Foundation Const.
Zone
Fire Zone
Staying
Valuatior 600 o
3
Chimney Fireplace
(Kind) (Number)
Ext Finish Int Wall Finish
No of Units Bedrooms
Curage or Carport Att shed Pncate Detid shed
As'
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
posed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
N
NORTH
42.5"
N
93,
1)
SOUTH
I hereby certify information submitted
as shown. _a/J
is correct and there
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
are no other s ctures located on this property except
(-•• 6-7z
Owner p'1jent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
Your street address will be
DONOT, WR BELOW THIS LINE
392 au
Sewage Permit Number Issued
Remarks
Building Permit
Date
CONSTRUCTION COMMENCES.
e zone is
H5V.f Receipt 4Z Issued
Form 523 Bldg. Code