1972, 11-09 Permit App: J4974 Residence•
County of Spokane, Washington •
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMITJ/'' o
GENERAL REQUIREMENTS �r;PERMITFEE /
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. There 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. Buildes 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.
ANT ILL IN BELO THIS
Name of Owner _ '.�_ 'a _. ddress
Architect hone Engineer
Contractor -- Address
Lega,YO�scription .f Pro> rty (Giv compl- desc;ipt i. from de�.x receipt e
/�!�//i 4f �A r. 1_ i�� / I./ i. A. 0//
1RIla 'IO
Size o
Co
OF
W
9G.'
/
/
s
/
e ---*d Iition Remodel • Moving
Sewage Syste
Total Sq. Ft. _
<.i
•
(F
Ro
1
imensions
he, co9crete, brick, etc.)
Heat. System
Use of Bldg.
Garage or C+ rp
hs Base
���-
ort At rched
>ax
Fountion Const
Full, par none)
4.410
Typee of Roofing
B1
Ext Fin
Phonel /2' f —bl c9 s
Phone
Phone
Bldg
Z�onee-�; J/ Fire Zone 1,2._
Starion'&
•
Valuation'..�'�877
Chimney . &i
(Kind)
Int. Wall Finish
No of Units / Bed
ce
(Numbe
Priv ite Detatched
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
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-
76. SOUTH 64 - _j.
I hereby cer • information ubmitted is correct and there are no other structures located on this property except
as shown. , _ O,z
Owner or Agent Date / 1
A LAND USE OR STRUCTURE PERMIT MUST BE 014 THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. •
DO NOT E BELOW THIS LINE
IL;cense No.
//
. In Acct. No.
REQUIRED 7
Plumbing Permit •
--
to Heating PermitC-f'/ CICO
N1 Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Your street address will be
Sewage Permit Number Issued
Remarks
Building Perm
e zone is
Receipt
Form 523 Bldg. Coda