1972, 03-15 Permit App: J2189 Residenceiit
.
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT �J
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 mast 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.
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 111 BELOW THIS LINE
a0
Name of Owner C
Architect
Contractor
N-- ddress G. `4 3 t1 N.S aPhone p{ 7 i LI r
Phone Engineer Phone
Address Phone
Legal Description of Property (Give ,complete description Cum
DESCRIPTION OF WORK: New Y Addition
Size of Lot
x/V)
Const. Dimensions
(Frame, concrete, brick, etc.)
Rooms_ Baths / Basement C-‘-,-\\ Foundation Const
(Full, part, none)
Heat. SystemGo.. 1K Type of Roofing �<n`m
Remodel
Xi, tax receipt, etc.
SYS
Moving
46'xa''+
Use of Bldg.
Bldg. Zone ) Fire Zone
Sewage System t ' �- Stories I
Valuation 4%'—
Chimney Fireplace
(Kind) (Number)
1 Int. Wall Finish C, ��$ S14 rv\.
No. of Units ) Bedrooms
Private Detatched
Total Sq. Ft. / C�
Ext Finish
Garage or Carport Attached
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
rot
NORTH
I her
as sh
SOUTH
tify inforisubmitted is correct
.
^h -['SUS'
r Agent Da
A LAND USE OR STRUC PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
7,4,ag_Ce. , DO NOT WRITE BELOW THIS LINE
Your street address will be )1 (3/0 )i'
and there
m
M
(3) location of existing and
(6) location of sewage sys-
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
are no other struct
res located on this property except
Sewage Permit Number Issued
Remarks
Building Perm mar
rr w
The zone is
Receiptssued
Nimp
Form 523 Blda Code
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