1972, 09-20 Permit App: J4469 Residence 41, 0
. County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ��0
GENERAL REQUIREMENTS PERMIT FEE
PEUIT 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 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 IFI BELOWsTHIS LINE //,��..�(�
Name of Owner -
r `1:a'(r�✓.. Address 5_tZ�SCs�+ �S Phoney
Architect Phone Engineer Phone
Contractor Address Phone
Le Desc iption of Prop'rty (Give cowple e ••/sc i ption om deed, to P rece pt,)etc.) 0i
.mit_
' _•_••
- i • I/3 -0 . b
DESCRIPTION F WORK:NewAddition Remodel Moving Bl•• Zo e Fire Zone _
Size of L !, 7 r X /.. Sewage System r,�' " / Stor s//
G" • -Al Valuati /g f1OO c•
Const. i'.... ./4a•�t.� Dimensions i X� Total Sq. Ft. •
(Frame,concrete,brick,etc.) om, /� /n1 _ /� Fireplace f_
Rooms-5' Baths I Basement I Foundation Const. Com, Chimney%^''
(Full, part, none) � �
(Kind) (Numb'r)
Heat. System d Int. Wall Finish ,4/i-, .-j —
y r�1+ Type of Roofing • Ext. Finish
Use of Bldg. 44. �y No. of Units Be,�ooms 3
Garage or Carport Attached / / Private 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. State License No.
NORTH
1 ,&'-4(t'' Ind. Ins. Acct. No.
\Q
-f< REQUIRED
C( 1.. t, Plumbing Permit
1
m
in Heating Permit
to /�. M Sewage Permit
ii Plans Received
N a► Plans Checked
,e-LA i'4‘ Plans Returned
0 Plans Picked Up
V Plans Mailed
SOUTH
I he e y certify i R. ion su 'itted 's correct and there are no other structures located on this property except
as shown
r. ,
Owner Agent Dae/---- L-1-7--
A
aeA LAND USE OR STRUCT • RMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
ay. ` D 0 DO NOT WRITE BELOW THIS LINE
/
Your street address will be / .e zone is t
Sewage Permit Number Issued Building Permits __Issued
Remarks - •