1971, 10-27 Permit App: J1133 ResidenceAPPROVED As NOTED I
Spokane County Bldg. Code
Date _/o-27-2/ i DepC01nty of Spokane. Washington
by/_ BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
�K/�� APPLICATION FOR LAND USE OR STRUCTURE PERMIT cin
GENERAL REQUIREMENTS
PERMIT FEE_.
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. Rater supply must be approved by the County and State Health Departments. Where work onwater 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.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easement running with the land
which are enP through civil dedications.
oOA
Name of Owner
Architect
Contractor
Legal
lDDes_c�r Description of Property (Give
(> '" - 1
s I i
•
action. County Officials car. not bring action to enforce cants or
i - i4%aASEW/
APPLICANT FILL IN BELOW THIS LINE
44, ddress
Pho,e Engineer
Address
c pl
e description from deed,
i�
L
tax rec. )
e l A1�:*/ 79'
Phone
Phone
6i el i/
DESCRIPTION OF WORK: New Addition
Size o
Dimensions
(Fr e, concrete, bricketc.)
Ro ms S Berths / / »pasemen
/( ull, part, one
Heat. Systems .n Typ f Roofing
Use of Bldg.
Remodel Moving
Bldg, one
/ Fire Zone "3
Garage t ched
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines!,
NORTH
Storieess � /
_ /7 V
Chimney ' Fiy lace c -7
(Kind) /i 1 (Number)
Int. Wall Finish
•Ext. Finishl—///
No. of Units
Private Detatched
PLOT PLAN
Property lines; (2) street or road locations; (3) location of existing and
lines slid streets; (5) dimensions of buildings; (6) location of sewage sys
N
SOUTH
I hereby certi y s.forma io% submitted
Owner or Agent
A LAND USE OR STRUCTURE PE
THIS IS NOT A PERMIT.
Your street address will be _
Sewage Permit Number Issued
Remarks
is correct and there
State License No.
-tt—Ita: cid .R
Ins. Acct. No.
-0/— /Lh2a
REQUIRED
Plumbing Perm
w Heating Permit
Sewage Permit
H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this
Date
T MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
property except
Buildin
Perm1
e zone 1
Receipt
Issued
Form 523 Bldg. Code