1971, 05-25 Permit App: I4501 ResidenceI)
4111 4111
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 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 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.
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23 rJ
0
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 enforce covenants or dedications.
Name of Owne
APPLICANT FILL IN BELOW THIS LI
ddress 3q.I-9
Architect '! '__ 94 - Phone ,Engineer Phone
Phone
Contract
Address 1 Phone
Lega Description of roperty (Give comple description from deed, tax receipt, etc.) / 7 ,j cf 3 — 311 3
DESCRIPTION OF WORK: New
Size of Lot /,J '' 1)11
Const. Dimensions
(Frame, concrete, brick, etc.)
Rooms Baths �1 Baseme
C• (Full, par
Type of Roofing
Heat. Syste
Use of Bldg.
Addition
Remodel
Moving Bldg. Zone / Fire Zone
Sewage System S ,.%' Stone /
Total Sq Ft J 0 R* f 66/Valuation �._�/-Q O J
3
Foundation Const. 0441t -C6-4-067— Chimney
Fireplace irr)
,/).one)tom-.../// (Kind) (Number)
Garage or Carpo
G
l Ext Finish
1-31.0T LAN
Int Wall Finish
No. of Units Bedrooms5
Private Detatched
ol`,lo0 U&Q)
e
Draw s - dimensions showin:. (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines acd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
r7 0
a
I
hereby
fy informatio
SOUTH
A
TH
rrect and there are
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
J
no other structures located
Owner or Agent Date
AND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
IS NOT A PERMIT.
Your street address will be
Sewage Permit Number Issued
Remarks
DO NOT W ITE BELOW THIS LINE
Form 523 Bldg. Code
e zone is
uilding Permit Receip