1972, 09-05 Permit App: J4284 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT Vi __
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 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
Architect r)
Contractor
Phone
Legal Description
ddress - 3 . < �' one /Q 7 5/e K4
Engineer 9920 7 Phone
Address Phone
description fro
deed, tax
r ceipt, etc.)
DESCRIPTION OF WORK N w v Addition
Size of Lot
Const. i� !.i :'mensions (D ?e. 3
(Frame • oncrete, brick, etc.)
Roo : Baths / Baseme
(F,11, pa
Heat. System �/ - e ' I
Use of Bldg.
Remodel
l$-7S--41s�
Fire Zone
6L Stries,-ss
Valuation �'
Moving Bldg. Zone
Foundation Const
rte one)
e of Roofing
Carport Attached
Sewage System
Total Sq. Ft.
Chimney Fireplace /
/
(Kind) (Number)
62_6¢,y/t/i7 Ext. Finish . Int. Wall Finish
No. • Units Bedroom
PLOT PLAN
Privat 'Detatched
D':w sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
pr • osed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
em and water supply lines.
m
N
NORTH
SOUTH
I herebf certify information subigitte
as shown.
A LAN
THIS I
•
Owner or Agent
State License No.
c,?a, "o/ _ -///e)
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit ��7C
Heating Permit
Sewage Permit
Plans Receive
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
nd there are no other structures located on this property except
Date
USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
NOT A PERMIT.
DO NOT WRITE BELOTHIS LINE
/
Your street address will be l�� - L The zone 1s
Sewage Permit Number Issued Building Pers'`, I Receipt 2 ssued
Remarks /
Form 523 Bldg. Code