1971, 06-14 Permit App: I4739 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
7
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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner
41
Architect / Phone
Contractor 16,047 L'd/1Sf/eIlti/Or✓ / Z`yle,
Legal Descrip i/on of Property (Give complete
ddress E, SDA'471 C.. 9P/6
Engineer Phone
Address /3s $/ T, Sf.e.if4e 9'%42/6 Phone /V/4 ILO /9)
description from deed, tax receipt, etc.)
Phone (4/i4V02oi
e.K s �'�-Si,ie les U41/e1 l/; ew S'±6Add; 1;64/
ins>;
1.5-6
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone/ Fire Zone S
Size of Lot 8 9 )C /off D Sewage System 5e /G //ink- Stories / A
Const. ef t/}Irl e_ Dimensions � V X ya Total Sq. Ft. /?9 , Valuation oZl/ 000, 06
(Fram concrete, brick, etc.) / ,
Rooms Baths a Basement AnFoundationConst COf1 e Re Te. Chimney Fireplace 4/4,12e -
(Full, part, none) (Kind) (N�mber) ,
Heat. System e%CY"iii C Type of Roofing ce) he, f • Ext. Finish W nn d Int. Wall Finish 91r, d 4Rr
Use of Bldg. /44/ Is 1'x9 Res i de n a e- No. of Units / Bedrooms
Garage or Carport Attached 9 /4-ie'47 e. /V A —1Private Detatched
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.
NORTH /at)
30/
46/
m
Lt
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify informatio submitted is correct nd there are no other structures located
as o � 7
Owner or Age iSt
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number Issued
Remarks
0
DO NOT WRITE BELOW THIS
on this property except
Date
CONSTRUCTION COMMENCES.
Build
ermit
e zone is .49k/ . -CUL
Receipt Issued
Form 523 Bldg. Code