1972, 03-17 Permit App: J2190 Residencef
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
0
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.
NATER. 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.
Rnd
ents
whichlareVenforce enforceable throughrs civiluld check action. Countysions Officialsf ocansnts or not bringdactionntoaenforcemcovenantsing with the land
or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner ��� 1 ddress . \�. r -� Phone..a:7714_44_46)
Architect Phone Engineer Phone
Phone
'Contractor
Legal Descri
Address
(Give complete description fr
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Z. e
Size of Lot 7s -i x 1%.7"
Sewage System
Const cst t'hwe- Dimensions 3 L' x A. -7Total Sq. Ft.
(Frame, concrete, brick, etc.) I
Rooms 7 Baths.. _ Basement =\\ Foundation Const �o �C-'r � Chimne y Fireplace
CrFull, part, none) (Kind) (Numb
Heat. System \' C Typec-,,,,,,... � u
of RoofingExt. Finish `..1 s = � Int. Wall Finish
Use of Bldg. �E' S i L� 4- . of Units ____1_ se -
Garage or Carport Attached Private Detatched
Fire Zone(140
T.
Stories
Valuation
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.
VS
NORTH
I h
as sh
infor
SOUTH
ma7abn"\
or Agent
A LAND USE OR STRUCT ' PERMIT MUST BE ON THE PREMISES BEFORE ONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
11.V.42,DO NOT WRITE BELOW THIS LINE
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
d is correct and there are no other structures located on this property except
Your street address will be
Sewage Permit Number Issued Bu ding P
Remarks
s.
e zone is -
Receipt fssued
Form 523 Bldo. Cede
ICY 6\ II ( 44.44:11
7
j.I'"
4:4
e\.\, • ('; VV.v.v.t.vc.v
• ''••V•0.4%,...4",..
-1",•••'4
'4 I - 3 / 4
4.4...."544.• I
‘.)
•
562:0 I-12 1 I 5
•••••.,
C CP" 100O
V+CA'1'
*....4e.r. ,
' —
4 .,
94 3 Zia /.(:4 "
1 A- e:\ kj:
x
—r
Aa
110
47_2-
V--
0"
0
NI
4 441.