1971, 07-08 Permit App: J0065 Move Residence►J
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
CC/ 03
5.09
GENERAL REQUIREMENTS
PERMIT REQUIRED. A land use or structure permit is required byCounty 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 mast 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 onvater 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 tbestructure 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 enforcea._e through civil action. County Officials can not bring action to enfe covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
PERMIT FEE
Name of Owne- 1i� �! ��C.P-GrtV Address
Architect �q Phone Engineer
Contractor/'{, n Lee- 7�`-ou�}/ Address
Legal Dec iption of Property (Give complete description from deed, taeceipt, etc
f
- f / of a S-
DESCRIPTION OF WORK: New Addition
Size of Lot QO )4. (OO°
Const. i Dimensions 4 i0 ' C .3 6 0. 4
Remodel
one ✓/Q- e/-3
/ Phone
Phone
/60S—‘71((-03 a_
Y'-cri77•c6
Moving Bldg. Zone
(Frame, concrete, brick, etc.)
Rooms Baths _ Basement
(Full, part, tjbne) /`
�.+ Type of Roofing _r Ext. Finish
Foundation Const
Heat. System
Use of Bldg.
Fire Zone
Sewage System // Storte
Total Sq Ft. / (g s- 6 Valuation ir3,.o(5
0
a
k_q A;
0 r Carport Attac(hedd)7g1 ,,,-�1
Q/J /fY
07�telt . g.�� -ei...!/ PLOT LAN
aw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
posed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
Chimney Fireplace
(Kind) ,,�/ (Number)
Int. Wall Finish (t ,rte_Q -
", . _.,,n- 4_,2-e- No. of Units Bedrooms 3
/ Private Detatched
NORTH
N
I hereby certify
as shown.
Own Sr
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE
THIS 1S NOT A PERMIT.
REQUIRED
Plumbing Permit
,w Heating Permit
M Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked U
Plans Mai d
s correct and there are no other structures located on this property except
PREMISES
Date
BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
/
Your street address will
Sewage Permit Number
Remarks
be
ssued
!7. 2
r +,e zone 1s
N
4. Receipt $sued
gammaiwinnaw_
ann - -
A.& ANIWAINIWORICASS
Building Permit
Form 523 Bldg. Code