1972, 04-06 Permit App: J2510 Residence, Renewal of I1104, I4079• •
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ,J 35-0
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 1s 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.) requirea 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.
yso
Name of Owner
Architect
Contractor
APPLICANT FILL IN BELOW THIS LINE
ddress -2 03 % �--' ° r on
ee ( ! _ -5-7 C',�
r
P Egineer Phone
Address Phone
747.r iption of Pr rty (Give com le description from deed, tax receipt, etc.) 0 %.S'- iii- 0 4/05-7
DESCRIPTION OF/WORK: New {/pddition Remodel Moving Bldg. Zon�nee�-- / Fire Zone
i
Size of Lot /6r)y/ /7 e s— Q Sewage System Gw- ---15>tories
Dimensions...2-i212-V AX <-7* Total Sq Ft. Valuation
(Frame ncrete, brickk etc )
moms 2 Baths `ment Foundation Const - Chimney Firep e
part, none) / (Kind) (Number) Or
Heat. Syste Type of Roofing Ext. Finish � i ., all Finish .
Use of Bldg.2-`22e-n—co e.—. --+_C, o. of Units Bedro. s
Garage or Carport Attached 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.
.411
NORTH
er5i
07/
SOUTH
State Ls ens
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
,n Heating Permit
N Sewage Permit
-1
Plans Received
Plans Checked
Plans Returned
r Plans Picked Up
Plans Mailed
I hereby ify information su 'ttec and there are no other structures
as shown.
located on this
property except
- � z
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST B N THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be_42_727a2-0
Sewage Permit Number Issued
Remarksa 5'10
Building 'J mit
Form 523 Bldg. Coda