1972, 03-17 Permit App: J2202 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 0 0
t-GE-HER,AL REQUIREMENTS PERMIT FEE 36_
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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner ddress
Architect Phone Engineer Phone
Contractor , .4.1,a- Address Phone
Legal Description of Property (Give corn Tete descripti n from deed, tax receipt, etc. lei 1 - '
p r
Al
£.7S' /2__11r /06.67 Al/SD /-or4 skit ii
DESCRIPTION OF )YORK: New Addition
Size of L t 7•5--k' 1
ConsLj_f-ff414JJ Dimensions 0 *X =i%d'
Remodel
(Frame, concrete, brick, etc.)
RoomsyC Baths 1 Basement Foundation Const
(Full, part, none) (�
Heat, System /y13. Tlvvpe of Roofing —
Use of Bldg. /7(W -RIO ../..4“23/-vf .0 P
Oarnge or C n rport.A ttached
Moving Bldgg ZoneJ Fire Zone
•
Sewage System n ._A.r i Stories
Total Sq Ft./ # U Valuation /'(06d
Chimne /i'ireplace
(Kind) (Number)
I r
Ext Finish T / / / Int. Wall Finish
No. of Units Bedrooms a
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Private Delatehed
PLOT PLAN
propelinesrty andlines; (2) streets; (5)reet or dimensionnss of buildings; d locations; (3)
(6)1ocation of location ofresisting
sewage sys-
I hereby certi
as shown.
informati
SOUTH
State License No.
O.K.
Ind. Ins. Acct. No.
REQUIRED
ve-
Plumbing Permit
Heating Permit '
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
correct and there are no other structures located on this property except
Owner or AgeDate j/ Date ‘44'
A LAND,' OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
,THIS IS •TAPERMIT.
ligezia 0
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
.wid ado-,,, gat- 4a5)
2 31 (7E. M l 55 / o N RD The zone is
Building Perm1
ijtL/CL
Receiptit Issued
Form 523 Bldg. Code
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CAMERON & ASSOCIATES
CUHVEYINC SERVICE,
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