1971, 10-26 Permit App: J1608 MHf
County of Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 5,
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 most 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.
Name of Owner
APPLICANT FILL IH BELOW THIS LINE
Architect „ 17
Contractor
Legal Des,
ress
Phone Engineer � Phone
Address Phone
tion of Property (Giv co plete description from dee ax receipt, et . ct ccQJZ. q .5 2cis � 0
elF
/00 ' , F 18'6 ' /a
1
DESCRIPTION OF WORK: New Addition Remodel Moving
Size of Lot /fid ' X SPO
Co Dimensions /''c, ,y
ram , concrete, brick, etc.)
Rooms -5 Baths Basement
ul ,,.art, none)
Heat. Syste Type of Roofing
Use of Bldg. 41- e e -• -- • -
Foundation Const
Bldg. Zone
Sewage System
Total Sq. Ft.
t Finis
Garage or Carport Attached
Chimney
Fire Zone
Stori s
Valuatio
Fireplace
(Kind) Number)
Int. Wall Finish
No. of Units
Private Dethed
en 6 /97/
PLOT PLAN f
Bedrooms
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-
�em and water supply lines.
m
N
NORTH
346'
14'
1
04
iso ' _4,
SOUTH
0
0
State Lice e 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 information submitted is correct and there are no other structures
as shown.
located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT Al PERMIT.
6%.4.) -14/L44Q'
Your street address will be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LIME
e zone is -�
Receipt. 7/ Issued /6--26-17/
Form 523 Bldg. Code