1971, 03-02 Permit App: I3579 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 992d
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 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 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
1 -;.St 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
7;TATE HIGHWAYS. Where thestructure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
t.OUNTY 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 vhe land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE !/
/"ilr'L _i Phone37
Name of Owne
Architect /1 Phone
Contracto
Legal Des
Lvv�J�,
press
gineer
Address
4 I f ,1 1 Phone
` Ph`/one
tion of Property (Give complete de cript ion from deed, tax receipt, etc.) / 1 -, / 2
DESCRIPTION OF WORK: New Addition
�/
Size of Lot 1 `C. fru y6
Const I. --------Dimensions 6 S'
(Frame, c ncrete, brick, e ..) ¢.
Rooms Baths J Basement '------- /y Foundation Const ( 4%-t4!.)t Chimney
Full, part, none)
Heat. System Type of Roofing Ext Finish _.
Remodel Moving Bld Zone / Fire Zone _3
_7.___.Sewage System dr Stones / Z
a- D- X c) -a /- Total Sq Ft 4:0() / , Valuation`_ C
L,2,
Use of Bldg. / Lave- ^ • •
Garage or Carport Attached
Fireplace
(Kind) (Number
Int. Wall Finish Ji✓v.-�'o
3-
No. of Units Bedrooms
Private Detatched
- PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3)
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
NORTH -. ,
.SOUTH
h cuo,Pg SY
I hereby certify information submitted is correct and there are
as 1 shown. 1
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS 1S NOT A PERMIT.
location of ex
ting and
age sys-
REQUIRED//i
Plumbing Permit '
'n Heating Permit nn // / f ,
Sewage Permit
-1
Plans Received 3// %,
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
DO NOT WRI
BELOW THIS LINE
Date
CONSTRUCTION COMMENC
Your street address will be
Ily77 g
Sewage Permit Number 'Issued
Remarks
.0/L—irt .v �j The zone is
Building PermitQ �� /Receipt
S.
sued
Form 523 Bldg. Code
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