1972, 10-25 Permit App: J4867 Additiono
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT, 7
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't rearyard 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 ?.2;-.. D
Name of Owned d._ .w a .f % ddress
Architecteu6-
Phone ELgineer Phone
Contractor' �Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) DR, '4/-9--043.7
(0„q[/iJ owr �-0c ./a'- ,�` /9, 11 e�of (3_3g, A/5 v z a-dY -
Phone&et. to ;- e1
DESCRIPTION OF WORK: New Addition ✓Remodel
Size of Lot a j4__ Ce�--t•%''
Const. flti+v—e Dimensions / r' f- / U
(Frame, concrete, brick, etc.) /yJ
Rooms ( Baths Basement Oil Foundation Const
I .art, none)
Heat. System ' : Type of Roofing
Use of Bldg. Q
Gavage or Carport Attached
Moving Bldg. Zone
Sewage System Stories
Total Sq Ft /4' a
Fire Zone 5
Ext. Finish
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
ValuatiortWAro O
Chinmey Fi place
(Kind) i Number)
Int Wall Finish Al
No of Units Bed e.(ms
Pnvnte Detatched
PLOT PLAN
property lines; (2) street or road locations;
lines and streets; (5) dimensions of buildings;
I hereby cert
as shown.
X
y
(3) location of existing and
(6) location of sewage sys-
State Lice se No
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
nformation submitited is correct and there are no other structures located on this property except
ner or Ant
1/
-/1 2 O
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be / /
Sewage Permit Number Issued
Remarks
Building Permit
e zone
Receip
Form 523 Bldy. Code