1972, 02-14 Permit App: J1881 Residence0 0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LANA USE OR STRUCTURE PERMIT �%
GENERAL REQUIREMENTS PERMIT FEE.....0
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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 onwater 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, cicarance 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 Counts 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.
—� /� f� APPLICANT FILL 111 BELOW
THIS`LIEIE
Name of Caner t�' rA/C R- ,(Jar kI U A, d Address S• ,Po y Cl y'r 2414J Ph°ne— V
17
Architect Phone Engineer Phone
Contractor SO /11�, Address Phone
Legal Description of Property (Give complete deacriDtton from deed, tax receipt, etc.) �ai
• ,o -IL /,i 8/ocK / ever/! H-OLit F/12r4
Bldg. Zone —1 — Fire Zone 3
DESCRIPTION OF WORK: New 1r Addition Remodel Moving
Size of Lot !/ Q 0 / X %--,7 / Sews
Const flaN he c Dimensions //1 X 3 li ; ,-7.2 X.2 , ' ..T/'6 X.2 ri Total
(France, concrete, brick, etc.)
Rooms 7 Baths -2 Basement/L' o // Foundation Const NA) e Mc -1 r .
/` (Fulll part, none) /�
Heat. System evrr H Type of Roofing Sc-cId 912 Ne Ext Finish 194 Pieo,t
KrUse of Bldg. C 5 "cic-Iue c
1--''''..--
�!"'
ge System "LI C- Stqnes /
Sq. Ft. 3 ?$/o2' Valuations r2? -20 0 ' x
Chimney) I, Fireplace 1
(Kind) 'j U (Number)
Int Wall Finish 0 h i t / /
No. of Units __/..._ Bedrooms
Garage or t{Rrt Attached
Prtvnte Det at ched
PLOT PLAN
Draw sketch with dimensions 'showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distanc_to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.. _ Eos +
I here
as shown.
State License No.
2.23- o) - 9 775
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received -
Plans Checked
Plans Returned.
Plans Picked Up
Plans Mailed
certify infor tion submitted is orrect and there are no other structures located on this property except
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Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE
THIS 1S NOT A PERMIT.
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Your street address will be
Sewage Permit Number
Remarks
Date
PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Issued
Building Permit
e zone 1s
Receipt Issued t CL aZ
Form 523 Bldg. Code