1972, 03-23 Permit App: J2309 MHnmmmp�1 0
County of Spokanee Washingt®n
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT X�u
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 -
NATER. Plater 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 Noss. 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.
d until staked by County Road Department and work must e
COUNTY ROADS. Work on street right-of-way may not be performe
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 car. not bring action to enforce) covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner -----Address
.� ��3 � Phone
Architect — Phoge Engineer Phone
Phone
Ct'ntractor %'"- - Address
Legal Description of Property (Give lete de criptiosifrom deed,ece' etc.)
qi,- d
DESCRIPTION OF WORK: New g Fire Zone
-�G_ Addition Remodel _Moving Bldg Zone
Sj. of Lot 6) X /'{O Sewage System Stories
Valuation /- ,a/f�c�
%!✓l� Dimensions 2 Total Sq. Ft. —�-
(Frame, concrete, brick, etc.)
Rooms Baths/ Basemen . — Foundation Const. ����� ��h�� Chimney Fireplace
(Kind) (Nu ber)
(Full, part, none)
Heat. Systef Typ Int. Wall Finish
f Roofing '-�> _Ext. Finish d � 3
Use of Bldg. �� �^ Q�� LSC. No. of Units Bedrooms
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. license No.
M
T" — t
i
t�RoPos��
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SOUTH
I hereb ertify information
as shown. L
e or Agent
A LAND USE OR S RUCTURE P
THIS IS NOT A PERMIT.
Your street address will be lql
Sewage Permit Number Issued
State c
Ino. Ina. Acct. No.
REQUIRED
Plumbing Permit
in Heating Permit
ASewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
tted is correct and there are no other structures located on this property except
%i � - 7?
Date
MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LIRE
L -We zone is -
ilding Pe q tl _ Receipt �-issued _----