1971, 11-03 Permit App: J1188 Residence0 •
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT •
GENERAL REQUIREMENTS PERMIT FEE. g27•00
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 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
Name of Owner R.H. Hoover, Inc. Address N. 122 University phone WA 4 9520
Architect Phone Engineer Phone
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
S ' of Lot 93, Orchard Ave, Add.
S' %/ 1.--\ Parcel # 06543-4314
DESCRIPTION OF WORK: New Inc Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Size of Lot 702 X 14.1'1 Sewage System S,T.Stories 1
Const. Frame Dimensions 23-4 x 41 Total Sq Ft 1254 Valuation $18000.00
(Frame, concrete, brick, etc.) t
Rooms Baths 1 Basement full Foundation Const concrete Chimney 0 Fireplace 0
(Kind) (Number)
Type of Roofing Comp Ext. Finish Wood Int. Wall Finish Drywall
Heat. System GFWA
(Full, part, none)
Use of Bldg.Reside_.dent of+; of No. of Units 1 Bedrooms 3
Garage or Carport Attached 1 nar att.
Job # 155
PLOT PLAN
Private Detatched 0
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 ar.d streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
See att. plot plan
SOUTH
State License No.
225 01 10073
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit United
,n Heating Permit Unitcd
NSewage Permit T nne
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information ubmitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent Date •
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
Your street address .111 be 3 3 0
Sewage Permit Number Issued
Remarks
DO NO WR E BELOW THIS LINE
`i,
Guilding Permit
/
/ .e zone is
Receipt 71 76
Form 523 Bldg. Code