1971, 01-28 Permit App: J3347 MHCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner �'�----Address 10_ krZoAl Phone�•t�Ad(✓✓ /6
Architect// Phone Engineer Phone r�
Contractor�CdGR C O.dS 60, Address ? _.;*eAez_— Phone
Legal Descr}�tionnvo,ff Property (Give complete description from deed, tax receipt, etc.)
IV !1 .G./'li -L 00, _7 Al L31aGAt' _ 40A/ G.r.& e.w,61a ite_ s tRA. ,'moi fr
Z.? AJ -7-.'75-
DESCRIPTION OF WORIKg New Addition Remodel Moving Bldg. Zone Z— Fire Zone
Size of Lot 47a X qz..5/ AApiCoY. .9. _!!rACX0e SSewage System Alor /-C- Stories
Const. Dimensions f '` ` Total Sq. Ft. S Valuation M7
(Frame, concrete, brick, etc.)
Rooms Gy Baths —'Basement Foundation Const. --ZAP -<- Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System Type of Ro ng Ext. Finish Int. Wall Finish
Use of Bldg. ArCS
Garage or Carport Attached
No. of Units Bedrooms
Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
State License No.
Ind. Ins. Acct. No.
(3) location of existing and
(6) location of sewage sys-
NORTH
V.
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SOUTH
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I hereby certify information submitted }s correct and there are no other s
as shown.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ctur located on this property except
Z
Owner or Aged/ _ - vChate u
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
D N ITE BELOW THIS LINE
Your street address will be 147 The zone is
Sewage Permit Number Issued Building P it Receipt tissued
Remarks
c
form 523 Bldg. Code