1972, 05-18 Permit App: J3114 MH• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /
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 onwater 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 b' 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 eggements running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
i Ii
`APP NT FILL IN BELOW THIS LINE
Name of Ownera. . ,.. rars. 5t dress
Architectr Phone Enginee
Contractor • '4Yi.--°--- Address
Legal scription of Prop aty7 (Give complete descri ion from deed, t���xxr'-77�ece'pt, etc.)
0--i / 0 — ` � '(/� l4 8 - L.r /l_L c/ /._:
� • d
Phone
Plne
�- ohne
DESCRIPTIONOF WOK: New_ _ Addition
Size of Lot "< d f 1/ /7
_
Const. r nit p�Dimensions / 0 14 SS
(Frame,concrete, brick, etc.)
,Rooms / Baths / Basement Foundation Const
(Full, part, none)
`Leat. System — Type of Roofing
lime of g.
Gavage or Carport A
Remodel
Moving B1dg. Zoe 1 Fire Zone 9
Sewage System Stories /
Total Sq Ft eq -46 Valuation
Ext Finish
Chimney
ached
Fireplace
(Kind) (Number)
Int, Wall Finish
No of Units Bedrooms
Private Detatched
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.
as
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted s,correct and there are no other structures located on this property except
n.
er or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(5.1d 1/4444,60
Your street address will be / 0 ��/,. .-�, .e zone is
Sewage Permit Number Issued Building Permit /Receipt
Remarks ti-
/�. •H i
/f
V ' /
DO NOT WRITE BELOW THIS LINE
Form 523 Bldg. Code ''..',