1971, 04-15 Permit App: I4036 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
3
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 must confoim 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 /4
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 Z z r .e - -ddress
Architect / Phone Engineer Phone
Address Phone.
Legal Description of Property (Give complete description from deed, tax receipt, etc. )
o 1 5 ggi � 3
Phone /y t f.0'3/
Contractor - Ca Aft
DESCRIPTION OF WORK: New v Addition Remodel Moving Bldt. -. e 1 Fire Zone
Size of Lot /10 .( / jI 11,e Sewage System Sr X-- Stories .Z
Const. FRirint Dimensions StCw y f- . .0/4 Total Sq Ft f 7 1 (7 Vafuatiyrr/ fSDC
(Frame, brick, t '
concrete, ric etc.)
/. f
Rooms Baths / Basement dot Foundation Const (Fe/rfat /c -
(Full, part, none) /�/
Heat. System . Type of Roofing LQrt Ext. Finish i—/
Use of Bldg. /rPS yAi/C e
((//
Garage or Carport 4ttnched 444ee
Chimney Fireplace 1
(Kind) (Number)
Int. Wall Finish /,Ey sria!/
No. of Units Bedrooms _
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.
NORTH
FYf
Set
I hereby cert
as shown.
SOUTH
informat' submitted is correct and
/L1x
/ 3\1: o LIcense;No 7
\--+Ind( Ins. , _ Acct. No,....
REQUIRED
Plumbing Permit 1t'�
nn Heating Permit Dta,%C, i✓
Sewage Permit Aim •• lift
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
,..4 s— 77
r or ent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be _21/ 14/> K y h The zone is / Si.vztre_ /An,/
Seiage Permit _Number Issued Building Permit O, w 7� Receipt Qr.-0 ' Issued
Remarks l ytt! .�..
Form 523 Bldg. Code