1971, 12-13 Permit App: J1520 ResidenceCounty of Spokane, 1011lashington
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 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 en orce covenants or dedications.
/e
APPLICANT FILL IN BELOW THIS LINE
/
Phone j.1/4 -7L3.
Name of Owner
Architect p Phone Engineer Phone
QCt,. Address Phone
(Give complete description from deed, tax receipt, etc.) Phte 7.5 13 &5/d
a6 e :,ES
ddress
Contractor /2/1/14.
2...
Description of Property
--TRA-CJ.iJ/ .6
TRACT_/# t3azK 8#Z
Bld
DESCRIPTION OF WORK: New ` Addition Remodel Moving ; Zon Fire Zone
Size of L 3 .'t li��-Q� Sewage System �� F .�2/ Stories
Const. Dimensions s
3�xS=o2�X� Ja
Total Ft �Q�h Valuation /
- Tota _ 2 �C1Q Oo
( Frame, concrete, brick�tc. )
F
Rooms Baths /-.Q Basementg�l fA Foundation Const `AF, Chimne9 r Fireplace
((Kind)
(Full, part, none) j.t'YK �Q� / A, (Nu pe a
Heat Syste
Tof R
y oofing 1 f FiriisIt , ,(.GS.( Int Wall Finish
Use of Bldg.
Garage or Carport Attached
L.0.1 /Yo.f.L.PQ
evritAtAL
Ext
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
No. of Units Bedrooms
Private Detitched
PLOT PLAN
property lines; (2) street or road locations; (3) location of'existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
SOUTH
I hereby certify information submitted is correct
n2-117 qr./4414J
as shown. ` .
Owner or Agent
State License No.
(.IN'wr
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit ft/
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
v
and there are no other structures located on this property
is-iq-7/ •
except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS HOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
Building '-rmi
e zone is (QCyCk�
/5.3.d Receipt -.39g0 Issued
Form 523 Bldg. Code