1971, 09-13 Permit App: J0648 ResidenceV
CVO DOI
C :)linty of Spokane. k ®Shkigt@
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION POR 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 an.7
kind or alter any building or structure already erected, or to change a land use. Construction most conform uith 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 oovater 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,t
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 tbestructure 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
Nighwarv, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESBORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
I
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easeaents running with the land
which lore enforceable through civil action. County Officials car. not bring action to enforce covenants or dedications.
� �9 ,¢ APPLICANT FILL 111 BELOW THIS LINE
.4 -tom ,y W 44,PAL,e/p,5 6
Name of Owner i` Z-Cy9( Address �
9i, -oh
Phone & 1 / Y S
Architect Phone Engineer Phone
ContractorAddress Phone
Le.:::e Description of o erty (Give complete description from deed, tax receipt, etc.) Gi z`5—j ee"'� e� _e
2d % 4 % -��,� 5 `/-/
DESCRIPTION OF WORK: New X Addition
Size of Lot W -.5—A.
Const DimensionsOS-
.Y 0
(Frame, concrete, brick, etc.)
Remodel Moving Bldg. Zone
Sewage System
Total Sq. Ft / -Z r 0
l
Fire Zone
Stories
Valuation 2//6 °C
Rooms Baths Basement Foundation Const Chimney Firep
����(ttttFull, part, none) - % (Kind)
Heat. System Type of Roofin Ext. Finish,/ / � Int. Wall Finish
Use of Bidg.„, No. of Units Bedrooms
Garage or Carport Attached
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.
Private Detutched
NORTH
SOUTH
I hereby certify do submitted is correct
as show
?I Qrrer or Agent1a.: 00
State Liceo.
72 �y
Ind. Ins. Acct. No.
REQUIRED
:Uua
Plumbing Permit
w Heating Permit
„n Sewage Permit
ti
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except'
Date
LAND. USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
SIS ISNOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
e zone is <i .
Building Permit ?)d& lei Receipt ” Issued
Form 523 Bldg. Code
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