1971, 07-13 Permit App: I0032 ResidenceL�
N
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 49201
APPLICATION FOR LAN® USE OR STRUCTURE PERMIT 2
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 47235.
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 Owne
ddress r 1�/ s
.� Phone
Architect ILC
Contractor,6 2
Phone
'
gineer
Address
Phone
Phone CU
Legal Description of
ro erty (Giv c Tete
description from deed, tax receipt, etc.)
E
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fire Zone`
Size of Lot ��T r �SSewage System v Stories
Cons . Dimensions Total Sq. Ft. _ ValuationODU
(Fra e, concrete, bri), etc.)
Rooms Baths Basemeni Foundation Const. ` i Chimney Fireplace
ull, part none)
- s (Kind) (Number),
Heat. Syste Type of Roofingo__el ,� Ext. Finish Int. Wall Fimsh
Use of Bldg. No. of Units Bedx�Ooms
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.
NORTH
N
435
State Li nse No.
C
Ind. Ins. Acct. No.
REQUI ED
Plumbing Permi
m Heating Permit A/
a
M Sewage Permit
1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent Date
A LAND U EOR STRUCTURE PERMIT MIDST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be e zone i
sewage Permit Number Issued Building Permit Receip Issued
Remarks
Form 523 Rldo. Cede