1972, 04-04 Permit App: J2431 Addition1
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPL!CATION FOR LAND USE OR STRUCTURE PERM
GENERAL REQUIREMENTS PERMIT F
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 most 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 Of floe.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET-13ACR 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 1s 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 dedlcat ions and easements running with the land
which are enforceable through civil action. County Officials car. not bring action to enforce covenants or dedications.
APPLICANT FILL III BELOW THIS LINE
aj
Name of Own
Architect
Contracto
Legal Descrip on of Property
/
ddress e e-..2%5
Phone Engineer
Phone
Address _ Phone , T -D
ve q;.lete description from dg d, tax rece , tv etc.) e /¢-
DESCRIPTIONOF WQ/RK: New Addition )( Remodel Moving
Size of Lot A <T2( 2-/t7 Sewage Syst
Dimensions Total Sq. Ft.
concrete, brick, etc.)
Heat. Syste
Use of Bldg.
Garage or Carport Attach
Basement
Foundation Const
Bld•. Zo e _ ' Fire Zone
ies
C imney
7�'i
(Full, part, none) (Kind)
Type o Roofingii �j Ex[. finish / Int. Wall Fini
No. of Units _Be jT. oms
PLOT PLAN
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.
A
H
NORTH
0
State Licens o.
Ind. Acct. No.
REQUIRED
Plumbing Permit
wn Heating Permit
JP M Sewage Permit
H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
- �'
I hereby certify information suub��}tied is c ectte 40,-jand there are no other structures located on this property except
as shown. �"/,% vJ`-'t-"`''Z� 2-{
( 274
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
e.0/15—
Your street address will b �
__ --i
- s - -- -t
Sewage Permit Number Issued / Building Permit
Remarks
e zone
Receipt �°Issued
Form 523 Bldg. Coda