1972, 09-29 Permit App: J4575 Guest HouseU 0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ),
i
PIRMIT REQUIRED. A land use or structure permit is required by Count) Resolution to erect a building or structure of any g
kind or alter any building or structure already erected, or to change a land use. Construction mast conform elth the'i
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection. 'i
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 1s 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 car. not bring action to enforce covenants or dedications.
�y /%// /
APPLICANT FILL IH BELOW THIS LINE s 2..1- /6 '/
Name of owneL3i aeci, �l1_7sOr Address < r-5-1,--,5 //'1241'`"`' thane Z[/Q-.4 — 7UY
Architect one Engineer Phone
AIC
ontractor� Address
Legal ript ion Proper y (Givec
Phoneo�te description from deed, tax receipt, etc.)
1 1/45
O' 75-9rote
DESCRIPTION OF WORK: New Addition Remodel Moving
Size of Lot 1i/'�`J 1 2 c2 . C�L.e Sewage System
Cimensions �-.� 3 O
C. - j DTotal Sq. Ft.
co trete, brick etc.) ^_—_
Baths / Basement w Foundation Const C ro
'ppFullpart
L�ype
e _ /Fire FaBire Zone
"tcgie11Ys
5 5GeO
Heat. Syste
Use of Bldg.
Garage or Carport Attached
Chimney
Fireplace
�
(Kind) %(Number)
ing ���//-J Ext. Finish 7 Int Wall Finish
!ll��� No. of Units — Bedroo
Private Detotched
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.
W
NORTH
State Licens No.
Ind. Ina. Acct. No.
REQUI s_
Plumbing Permit
rn Heating Permit
• Sewage Permit
•n
1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
• SOUTH
I hereby certify information submit is correct and there are no other structures located on this property except
as shown. \_/
Owner o! neont.
A LAND USE OR STRUCTURE PERMIT MU BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
Your street address w111 h^ 2"'5 n,o nne 15
Sewage permit Number issued Building Perini /toroipt
Remarks 1. / -
Il14)It/Form 523 Bldg. Code
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