1971, 06-08 Premit App: I4652 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
00
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.
Al ;SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
/east 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 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
Name of Owne
Architect 1) / Phone
Contractor
ddress
T►g ineer Phone
Address Phone
Phone - 6 /
Legal Description of roperty (Give complete description from
deed, tax receipt, etc.) _ L
C-/ /L. /Di /y.
DESCRIPTIOpi OF WOR3[ ew Addition
Size of Lot P '7 ',) /` 1 () I
Const. -teeDimensions -7'•.,.,)/.'-- <
(Frame, concete, brick, etc.)
Rooms 3 Baths / Basemen
(Full, part, one)
Type of Roofing
Heat. Syste
Use of Bldg.
Remodel Moving
oundation Const
Bldg. Zone
Sewage System
Total Sq. Ft.
O
Chimney
Fire Zone
Stories
Valuation /Q] /�� O
Firepl-ce /
(Kind) 1 (Number)
°----e _ Ext Finisho-n- Y int. Wall Finish
Garage or Carport Attached
aDraw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
077kand water supply lines.
No. of Units
Bedr
Private Detatched
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
NORTH
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRE
i/
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned -
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this
Owner or kgent
as shown.
Date
property except
?/
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTIO
THIS 1S NOT A PERMIT.
Your street address will be
DO NOT WRITE BELOW THIS LINE
//,
Sewage Permit Number Issued
Building Permit
The zone is
teceipt.6 -;? Issued
Remarks
C2
COMMENCES.
g-r(a/ g-‘ eon
Form 523 Bldg. Code
r
7-01: v /{✓(J w
c/!i//i / 1C7 / /..-J' 4 y // 1/^•C49 '��•�/ •-
/4:4"fent/
`0U
4
‘21-4, ,e/
/C G
/ o Z� - .,-11,; a 1
I /0
._ --1 --
t
1
16
900
td
W
•
lr lr=�n ��
}