1972, 05-26 Permit App: J3156 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE. WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT o CJ
GENERAL REQUIREMENTS PERMIT FEE 1940
'PPAMIT 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
Spdiane County Building Code and Zoning Ordinance. Construction is subject to inspection.
-_WATER. Water supply must be approved by the County find State Health Departments. Where cork 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 111 BELOW THIS LINE
ddress 76'/6 f 7-41
Phone Engineer
Contractor Address
Legal Description of Property (Give complete description from deed,
Name of Owner
Architect
c
tax receipt, etc.)
P Rye 4.1
Rb�SC�IPTION OF WO . ew
Size of Lot %U w i( '1 3 ,/ & i
ions ` `X IP4
Const%I1.4M/ FRtt*ti i,
Addition
_)s450
Remodel
G
(Frame. concrete, brick, etc.)
Rooms_(_Baths .2 Y1 Basement D,LL Foundation Const
(Full, part, none)
Heat. System E.& -' - Type of Roofing G M P
Use of Bldg. I?E i 1 O& d C F -
Phone /'•4. 4/-2 i/-2
Phone
Phone
,RLR / 2-
i0 /->7zr
Moving Bldg. Zone Fire Zone/ . {
Sewage System
S. T Stories I 2_ -
YTotal Sq. Ft. 3 4 Valuation 2L
%NC.
Chimney
6 Fireplace _12—
(Kind) (Number)
Ext. Finish /f/UNI. .SDG Int Wall Finish Gyp �9
No. of Units — Bedrooms
Garage:...t;,-,ct-Attacked It A/ 1Gl4"FR 4sr4E L -
Private 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.
SOUTH
I hereby certify information submitted is
as shown. /J -t,t.I.,Q-
//Lc�
Owner or Agent
A LAND USE OR STRUCTURR PERMIT MUST BE ON THE PREMISES BEFORE
-f THIS 1S NOT A PERMIT.
State License No.
/Y OWNER
Ind. Ins. Acct. No.
REQUIRED
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
2G
his property except
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
Your street address will be
Sewage Permit Number
Remarks
Issued
Building Perini
e zone 1s t
Receipt Issued
Form 523 Bldg. Code
c.
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ice'
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20'
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