1971, 12-17 Permit App: J1542 ResidenceCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
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 HIIGHWAYS. 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.
n n % 42
PERMIT FEE
APPLICANT FILL IFI BELOW THIS LIIIE
Name of Owne
Architect
Contractor
• ( Address 4ta3/ A Phone U/r("T -4,/iS
_
Phone Bltgineer _
/Q/1titt
Legal Description of Property (Give
Phone
Address Phone
complete description from deed, tux receipt, etc.) .r.t,LD �B /_J `5 7/
S A • D ALAI R.6CoR0 /'
DESCRIPTION OF WORK: New t Addition
Size of IW,�ot l�!'/7te. 'Zi°*,'
Const JnclaA•11=- Dimensions .01-'/ X CO
(Frame, concrete, brick, ete.) ���((���� /y
Rooms.r Baths / Basement( Foundation Const l-niTi
(Full, part, none) /�
Heat. System FAType(JJ�f Roofing l -gyp - Ext Finish % ///
Use of Bldg. /74-6-041tLi .11 0,41 A41i-44.P.0 .
Remodel
Moving Bld a Zone __L -- Fire Zone
Sewage SystemStories
?G-�G-t-- ./'—J6{r--�'Y�
Total Sq. Ft. / a. 0 0 Valuation 420� U 0
/SDC/
Chimney Fireplace
(Kind) A (Nu er)
Int Wall Finish ICI
No. of Units —Bedrooms -S
Garage or C i pert A tach ed
/
/T/
Draw ske .' f4 .4'men '• s g. (1)
proposed buildings;' (4) distance to property
tem and water supply lines.
IA
H
NORTH
Private Detatched
PLOT PLAN
property lines; (2) street or road locations; (3)location of ns ffexistingsand
lines and streets; (5) dimensions of buildings; (6)
)
State License
ilEKDY SOUTH
REQUIRED
Plumbing Permit
▪ Heating Permit
to Sewage Permit
.n
-4
Plans Received V --
Plans
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 property except
as shown.
/a-/7-7/
Owner or Agent `-' / 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 w111 be
Sewage Permit Number
Remarks
1. ; /S/4 D
Issued Builliing Permit q /S4/3,Receipts 9 Issued
Form 523 Bldg. Code