1971, 03-02 Permit App: I3577 Residencea,
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 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 BHILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTjICTIVE 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 1 t♦
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Name of Owner 0 Dn
«
%1f��%% ` �Kddress /02. •• ^�
Architect ('a£ f44043
Contract
escription of Property (Give
Phone
__Engineer
Address
/b�T�'' ♦ 1' r
complete description from deed, tax receipt, etc.) i - 3 - J
one3 97
��!I�Phone$3
Y.L+v Phone
DESCRIPTION OF WORK New Addition Remodel
Size of Lot ��
Const. 1-------si
Dimensions ..!1- --a- fc-K (1, ,,,7
I(Frame, concrete, brick, etc.)
,.p Rooms 5 Baths Basement Foundation Const
(Full, part, none) 4j
Type of Roofing d- �l�i�.���A
R‘(Fq' 4 44 -Py pe-e--
Heat.
0r
Moving Bldg. one / Fire Zone 3
Heat. System
Use of Bldg.
Sewage Syste SStone"✓'�
Total Sq Ft. ' /{{Z1Valuation Cr0
Chimney Fireplace
(Kind) (Num er)
Ext. Finish Int. Wall Finish
No of Units Bedrooms
Private Detatched
Garage or Carport Attached
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of
proposed buildings; (4) distance to property lines and streets, (5) dimensions of buildings; (6) location o
em and water supply lines.
"NORTH
1
y
SOUTH
I hereby certify information submitted is correct and
shown.
exis
se
ing and
age sys-
REQUIRED
Plumbing Permit GTN' /T 2}'�j
m Heating Permit r 1
in Sewage Permit ge, cste5
IvN
there are no other
Plans Received R/2/7/-
Plans
/.2/7/Plans Checked
Plans Returned
Plans Picked Up r
Plans Mailed 1
structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THISJS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will
Sewage Permit Number
Remarks
be )--y--/6
Issued
Building Permi
e zone is
e
Receipt /
a
r
Form 523 Bldg. Code
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