1972, 08-28 Permit App: J4217 Residence•
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 1s 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 mast 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 BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
nd
whichlareVenforce enforceable throughrs civiluld check action. Countysions Officialsf ocansnts or not bringdactionntosenforcements covenantsing or dedithe land
cations.
APPLICANT FILL IN BELOW THIS LINE
d
Name of Owner
Architect Phone
Contractor k , 4-1- Hrt".y ,�- "VC.
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
g 5 ; riF_
ddress / Phone
Engineer Phone
Phone t.,14 f5-2-0
Address /1,°. 2 )3i
{
DESCRIPTION OF WORK: New L/ Addition Remodel Moving Bldg. Zone __—�— Fire Zone _
/ / Sewage System `ri G_ Stories
Size of Lot ��> �C j 1 r�
Const / `� * e Dimensions Total Sq. Ft. / � A "T. Valuation , _5::,,,. ----
(Full,
r} _
(Frame, c rtcrete, brick, etc.) ��
Rooms Baths �'� Basement l� Foundation Const _Co i,.-' z."-P,.-4,-77t2._Chimney Fireplace
(Kind) (Number)
� (Full, part, none) / 0
Heat. System/r '/ — Type of Roofing / /1,4 /< Ext. Finish C" r «l� Int. Wall Finish /�j^
Use of Bldg. A No. of Units Bedrooms
Garage or Carport Attached
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
u1
NORTH
94ff
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-
l'
I hereby c rti inforp�ati�o
as shown. _
SO.TH
is correct and there
State License No.
S
2 21 01 icy -,7
3
Ind. Ins. Acct. No.
REQUIRED -
Plumbing Permit 61„,71
m Heating Permit 14° ' //f (1
DSewage Permit iy .12 /s -'
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
Owner or g" t 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 Permi Number Issued
RemarksP
34ag
j Receipt Issued
Building Permit
e zone i
w
Form 523 Bldg. Code
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