1972, 08-01 Permit App: J3938 Addition• •
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 most 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 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
o°
Name of Owner __ar;h0aerddress
Architect
Contractor
Phone Engineer
Address
Legal scription of Pr ti (Give complete description from deed,
__ ems, // QVG(1 � — 9 3 e
-._ $-a
DESCRIPTION OF WOR : New ✓Addition Remodel
Size of Lot / g' Sri . eili
Constc�/�M'(�Dimensions dr -.k eff
/ ✓; /Jione -F667
9 97/4. Phone
Phone
tax receipt, etc.)
Y.c) Vac
Moving Bldg. Zone
Sewage System
Total Sq. Ft. e
(FramP,,Eoncrete, brick, etc.)
Rooms (Baths Basement —
(Full, part, none)
Heat. SystemTC o Type of Roofing
Foundation Const.
Use of Bldg.
Garage or Carpo Attached
%cyzail/y nit Vy
Fire Zone
1 2L.-• s
-d"--7/--,--469, Chimney Fireplace—'—
7/t (Kind) ; (Number)
^.Qat. Wall Finish `'-2-'1 0-}4L2_ /,
No. of Units Bedrooms
Private Detniched _ lYL aL-n-1- -9
Stories
nation
)0f/taw
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tern and water supply lines.
NORT
PLOT PLAN
propeand
linesrty andlines; (2) streets; (5)reet or rd locations; dimensions of buildings; (3(6)) 1 location ofocation e g
sewagesys-
I here ryy certify in
as shown
_SOUTH
witted is correct
and
REQUIRED
Plumbing Permit
nn Heating Permit
Sewage Permit
an
H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
here are no other structures located on 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.
Your street address
Sewage Permit Number
Remarks
DO/ NOT WRITE BELOW THIS LINE
will be AO O
el"; eued Building Perm t
zone
Rene pt
Form 523 Bldg. Code