1972, 05-30 Permit App: J3204 ResidenceCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 G
APPLICATION FOR LAND USE OR STRUCTURE PERMIT/r3
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 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. 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.
99 -to
7
APPLICANT FILL IN BELOW THIS LINE
Name of Own Address
Architect Phone Engineer
Contractor Address
Legal De crfpti.n of Prope ty (Give compl`te,d :cription from deed, tax r ceipt, etc.)
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Phoned/A/117 y S J/
Phone
Phone
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DESCRIPTION OF WORK: New -. Addition ✓ Remodel Moving BId Zone / Fire Zone
Size of Lot 1..0 77 e 7t"2} X Shl ! ,N re-• gr)‹ /16 Sewage System _2 i �siories
C Dimensions an x ""7— C Total Sq Ft. '442 %/tS Valuat➢6n 2C 0 U 0
Frame��/pnerete, brick, etc.)
uu s1 Baths ?n ement Foundation Cons[---2^-t'�' Chimney Fireplace
u part, none) ,---r— (Kind) (Number) �/
ypeof Roofin /� Int. Wall Finish y�
Heat. SYste i. g Jr-i`�t Fin /^
Use of Bldg. - j /�/� No of Units Bedroo l
Gauge or Carport Attached Pri vale Detached
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.
rm
u
N
NORTH
SOUTH
State Licen o.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Perm' r�YY
In Heating Permit/� .77-1L
N Sewage Permit
N
Plans Received
Plans Checked _.
Plans Returned
Plans Picked Up
Plans Mailed
I hereby cerpify information submitted is correct and there are no other structures located on -his prope ty except
as shown.
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Owner Agent
A LAND U STRU TUBE PERMIT MUST BE ON THE PREMISES BEFORE
THIS 1S NOTA PERMIT.
O -A1 r M4n4a-4°
Your street address will be
Sewage Permit Number Issued
Remarks .--,A3ae-
DO NOT WRITE BELOW Tik LINE
(7
3
Date
CONSTRUCTION
e zone 1s
Building •erg Receipt
COMMENCES.
Form 523 Bldg. Code
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