1971, 08-19 Permit App: J0425 Residence111
Couy of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 QU
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 3e(r-
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 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.
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.
94-2-10 CA)eiff
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Architect Phone Engineer Phone
Contractor Address
Legal Description r`of Property (Give complgto descr}ption _ from�eed, to rece�, etc.)
cle
APPLICANT FILL IN BELOW THIS LINE
Name of Owner dress
Phone
DESCRIPTION OF WORK: New 1--- Addition Remodel Moving
Size of Lot /D >t X / 3Q Sewage Systeme
Const. j' .'O•P•CC Dimensions. 6 5j/X a 7 Total Sq. Ft.
(Frame, doncrete, brick, etc.)
Rooms 7 Baths R Basement/ `o, et Foundation Const
(Full, part, none) //
Heat. System Cy F. "-tined 4 Type of Roofing rc +7 Ext Finish O.t a0'‘!A
Use of Bldg. /I./.n.r-fl&fl-P-f2 12.-1-0.41-e- CY1iif / O
Bldg. Zo
� Fire Zone3
- �irrr. ;:tones /
/ /: Valuation P 5/ 930
Chimney), _11 "" Fireplace oc�
(Kind)(�N--yyubbe.er)
Int. Wall Finish ia101.0 i / �
No. of Units _/_ Bedrooms .3
PLOT PLAN
Draw sketch with dimensions showing: (1) pQr?'operty lines; (2) street or road loca
proposed buildings; (4) distance to property Plus and streets; (5) dimensions of bui
tem and water supply lines.
NORTH
y
I here
as shown.
m
ln
H
1o/.57-7)A--L-//1-A
tions; (3) location of existing and
ldings; (6) location of sewage sys-
State License No.
a23-0/ ---1941/-
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit V
-i Heating Permit V
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
N
SOUTH
certify information subm tted is orrebt and oyere Ll'e no other structures .locate
ra..P.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Date
on this property except
8/77/ '/
DO NOT WRITE BELOW THIS LINE
Your street address will be / 0 d02-;"��0-, )
/
Sewage Permit Number Issued Buil.•g Permit C)
Remarks
e zone 1s�� y^fz ,tt u -
Receipt 74-/7 Issued gr ---.2e-7/
Form 523 Bldg. Code