1972, 05-05 Permit App: J2904 Residence• 1> = 0
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201/
APPLICATION FOR LAND USE OR STRUCTURE PERMIT`S
3
a6
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 mast 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.
97 >-07
Name of Owner
Architect
Contracto
p
Legal D it
APPLICANT FILL IN BELOW THIS LINE
on o
ddress
Phone Engineer Ar Phone
Address Phone /Q �,y
' / 3 OJ 2
Phone ,*'O % 98-3/
Property (Give complete description ;rom deed, tax receipt, etc.)
3-4.../ -90
DESCRIPTION OF WORK: New n Addition Remodel Moving Bld Zone `/ Fire Zone
Size of Lot y ew • e System L Sto ies ��,
C� Dimensions 3 lP .Z d-1 /-2 owl Sq. Ft. / r 7 / Valuati� 7.-5---2 .S /! U
concrete, brick, etc.) d' �-� , / -
ement Foundation Const Chimney , •Firetace/
part, none) 7:—
/(/ (Kind) 1 (Number)
Heat. Syste sa Type of Roofing ' Ext. Fi i h f / — Int. Wall Finish / ' -..•i-
Use of Bldg. /cif 9- /
No. of Units Bedro
Garage or Carport Attached
Pri
e 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. .
NORTH
(U
SOU TH
I hereby Acertify information submitted is correcit and there are
as shown. /
•
r or Agent
A LAND OR STRUCTURE PERMIT MUST BE ON THE PREMISES
THIS IS NOT A PERMIT.
69-M, �'l2/X/{Q 2 DO NOT WRITE BELOW HIS LINE
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit.722
m Heating Permit a Y .
Sewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
c5 —� —fin
Date
BEFORE CONSTRUCTION COMMENCES.
Your street address'wi11 be 70- Q 72"7
Sewage Permit Number Issued
Building Permit") o27OjkReceipt
Remarks
Form 523 Bldg. Code