1972, 09-26 Permit App: J4544 MHCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT/ / r
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 most 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 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
/,/ p /
Name of Owner Address %oi C ✓ Phone G�/d c�6Oo
Architect /` '�/t Phone Engineer Phone
Contractor Z/anw-ew& Address Phone
Lega escription of Property ( ve complete descrip10 from dee , tax receipt, etc.)
,
_mss--,
DESCRIPTION OF WORK: New rAddition Remodel Moving Bldg. ne _ Fire Zone 3
Size,,of/Lot �✓`�.t���,� Sewage System s .-e-e.:-
,Bldg.
ate
Stories
Const , ( +Dimensions _�i9 '- S Total Sq Ft 11 cl Valuation �/7�5 0 -z -J
(Frarste, concrete, brick, etc.) - u�I / //
Rooms 5- Baths _Z_Basement seo Foundation Const 'Z/.--0 ./�f Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System - Type of
Roofin Ext Fj�yjsh�� Int. Wall Finish
Use of Bldg. c /fir/-/ �" - i�fG�<-aUaGG!
No of Units Bedrooms 2--
e or Carport Attached Private Detached
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
U,
N
NORTH
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-
15
2.0
3a
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
In
Heating Permit
Sewage Permit
- o
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I her art' y info Son submitted is correct and there are no other structup€� located on this property except
as show
-.l-r7zJ �G — n ---
Owner or Age ate
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 I c .2 /C/AtaQ
Sewage Permit Number Issued Building Permit
Remarks
e zone isFR- ('` Cc- )oLr�
H54/4 Receipt 0113 Issued
n C 0-4
Form 523 Bldg. Code