1972, 09-28 Permit App: J4607 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 0 S"
GENERAL REQUIREMENTS PERMIT FEE
ki�ndlTorr alteranyanylbuildinguse or orsstructurre alreadyrmit serected, ry to changes allandnuse.erect
Constructionbuilding
must conformstructure
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 4?.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 c vil action. C unty Officials can not bring action to enforce covenants or dedications.
/1
LICA
Name of Owner
Architect
Contracto��
Le p9.l7 Description of
4r—c�✓ % NT FILL IN BELOW THIS LINE
1140NIIPIrr
rr,:4A��eiAddress
Phone Engineer Phone
Address Phone
roperty (Give complete
escription from deed, tax
receipt, etc.)
DESCRIPTION OF WORK: New
Size of Lot / 7 q /6 7 ,
Const Dimensions
( Frame, concrete, brick, etc.)
Addition
Remodel
Moving
Bldg. Zone
Sewage System
Total Sq. Ft. % 'b 1- Valuation
X10
Chimney
Fire Zone
Stories
3
Rooms 6 Baths Basement Foundation Const Fireplace
/
(Full, part, none) (Kind)
er)
Heat. System Type of Roofing Ext Finish Int. Wall Finish
Use of Bldg. �Q�t.Pi _ ‘74 . Z_„/ ,,,,z.„_._____No. of Units Bedrooms
age or Carport Attached Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines. ._
NORTH
I here• cert infor
shown.
1
(
m
M
% c)
2�
( and
location
locationooff esewageg
(6) sys-
State License No.
Ind. Ins. Acct. No.
REQUIRED
1
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
tion `F•mitted is correct and there are no other structures located on this property except
A LAND USE • STRUCTuR
THIS IS NOT A PERMIT.
Your street address will he
Sewage Permit Number
Remarks
Date
RMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
BELOW THIS LIME
issued