1971, 04-22 Permit App: I4152 MHCounty 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 byCounty Resolution to erect a building or
kind or alter any building or structure already erected, or to change a land use. Construction m
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must be approved by the County and State jkoalth 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 IN BELOW THIS LINE
ddress,
Name of Owner tt ljAA t A
Architect
Contractor 'M
Legal Description of Pro r (Gi1e
8039 nl/IIQ�n hf
Phone 'r Y'47U
Phone Engineer Phone
Address PI4EFC 7-4-enadtt1CQn1 99O/n Phone Eta
comple descr'ption from deed, ax re eitt, etc
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DESCRIPTION
DESCRIPTION OF OR14 New Addition Remodel Moving_ Bldg. Zone Fire 2,0.p�
Size of Lo 6 i 3 ' Sewage System Sto •' x /r Uu
Const Dimensions / Z -(60-1 C7� v rdr/ Total Sq. Ft. Valuations
(Frame, crate, brick, etc.) ,� ,(� (� a
Rooms' Bat 11 Balsement /V Foundation Const c!"�r�/b —0...9-1,434 Chi Chimney Na Fir)
eplace
+�'N O
Heat
k Int
, part,
Use ofSBldg
m- Type none) Roofing ExtrNo. of UsFdnUM
' Bedrooms S
Garage or Carport Attached • Al ✓ Private Uetntched
l2 -./6S y Rvrg
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.
rn
y
NORTH
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
wt Heating Permit
ys, Sewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify informattloojj�� submitted rre nd ere are no other structures located on
as shown. �,t / /- � ,r%/
Owner or Agent •
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
y except
Your street address will be
U
e zone is 111/‘-ea/t,—
Sewage Permit Number Issued Building Permitiw -, - Receipt 3 S L Issued
Remarks
Fenn 523 Bldg. Code
72/
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