1972, 02-28 Permit App: J2008 RemodelCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAPID USE OR STRUCTURE PERMIT
4
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
!\ or alter any building or structure already erected, or to change a land use. Construction must conform with the
ne County Building Code and Zoning Ordinance. Construction is subject to inspection.
`Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
--•. re, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
.6'TEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
ACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at,
,t 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
SATE 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 FHL 111 BELOW THIS LINE
o
Name of Owner
ddress Phone
Architect Phone ginner Phone
Contractor Address 3 G �� -- '"'
Legal Des ription of Property (Give complete description from deed, tax receip , etof %,.S t
66 sy 3 " LJ
DESCRIPTION OF WORK: New Addition Remodel X Moving Bld•.Zone Fire Zone 3
Size of Lot ,`7 lY
i,� ^
� L/ t Sewage System / Sto¢r p' .50
:oust Dimensions Total Sq. Ft. ' Valuation/ 8-7 —
Frame, concrete, brick, etc.)
Looms - Baths Basement
(Full, part, none)
Heat. System — Type of R)ofing Ext. Finish
Use of Bldg.
Garage or Carport Attached Private Detatched
•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.
Foundation Const
Chimney Fireplace
(Kind) (Number)
Int. Wall Finish
No. of Units Bedrooms
NORTH
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
SOUTH
s I hereby certify .a formation submitted ' cor ct and there are no other structures located on this property except
shown. � .`�! L ✓�-�--� '2_ � � , % ��
Owner or Agent Date
LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
fIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
street address will, be
15
FPermit Number Issued
Fks
Built Permi
The zone is
Receipt 7 E/ Issued
Im-523 Bldg. Code