1972, 04-18 Permit App: J3637 ResidenceCounty of Spokane, Washington
APPOCAI ON FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PE IT - -1L
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. 45-133and 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 251 is required, a 5' side yard., 15' side yard from a flanking street, and a 251 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 Owner Phone
14'a r 1 !"ddress -il 011S, A=- f.5 1 -7 ZVI I
Architect --Phone Engineer Phone
Contractor Address Phone
Legal Description of Property (Give comp,�ete description from deed, tax receipt, etc.)
DESCRIPTION OF WORK: New Addition Remodel Moving — Bldg. Zone i . ..... ire Zone
Lot q le, X J,-4,1
Size of Sewage System,CLX��',&111-k
Const, Dimensions L �'Lll Total Sq. Ft. 4 Valuatiolift'
(Fram('.7 Brick, rick, etc.) Ch
Rooms Baths Basement 'e Foundation Const. All&—kl Chimney r�i i Fireplace
(Full, part, done), (Kind) (Number)
Heat. System 4kA.,wL IC - Al —,Type of Roofing *Ext. Finish Int. Wall Finish
Use of Bldg. z!4,�Q : No. of Units Bedrooms
K
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.
/ NORTH State License No.
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"N" I herehy certify
information submittE
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L/412L'
Ind. Ins. Acct. No.
Plumbing Permit
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M Heating Permit IUI-12zlrUl rxe -J"ok
An Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your str
Sewage P
Remarks
Form 523 Bldg. Code
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