1971, 05-17 Permit App: I4461 MHCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
PERMIT FEE /L
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. There 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 dedlc ions.
� 0% L M � 1 Phone LD 'I"''` 7
t
Architect 1�,, ,-_-I,, Phone Engineer Phongg
Contractor M LC__ Address F-. lQiu{ MON jome1zy ons Pho e 1mstp) Y4' o2.
Legal Description of Property (Give comm plgte descri ton from eed, tax receipt,
�lettc.)/ �1 -
/�- TL 10
12 -4,3_C -F-- n I r v -611!- 'V
APPLICANT FILL IN BELOW THIS LINE
Name of Owner�V`^� �• Address
DESCRIPTION OF WORYK: New Addition Remodel Moving T� Bldg. Zone Fire Zone /
�` Size of L,ot�l,., w C 1 i ? t Sewage System Stories'
c„.•
' Const. imensions /Q X�r f Total Sq. Ft. v aluation � ��0
D
(Frame, Crete, brick
• RoomsBaths
Heat. System
etc.) /�� /i
Basement +" aFoundation Const IQ
(Full, part, none) /t�.t, 'y/� L /%
�I ,TTPe of Roofing /„`�-"1,,`-,t-(//� E,xtt Finish /Tittf1 �
NOYr� Qc i���^�'�..
Use of Bldg. '
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Chimney
NNo
U Fireplace
(Kind) timbg)� /f
Int. Wall Finish �%jf/ry(/ pa
No. of Units / Bedrooms
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
I hereby cert
as shown.
SOU TH
rytsp �Cpt1 is 5w�'� and t)tere ,are no other structs ocated
nformatio bmi }
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
n this property except
Owner or Agent ' Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be / � d it2i ""`The zone is 4 A11749
Sewage Permit Number Issued Building Permit r, y/ / ReceiptO Issued
' Remarks
Cr
Form 523 Bldg. Code •
AL'fa &tatE�
INCORPORATED
4-- 70
Barker Road and Buckeye
Greenacres, Washington 99016
WA 4-9880
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