1971, 10-18 Permit App: J1026 ResidenceCounty of Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ...... .............
PERJiIIT 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. Nater 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 car not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of owner ----Address E I Phone&/&!J""11
1,6 9
Architect Phone Engineer Phone /
Contractor %�Q��G C Address 2i OT Z;�x ` Phone
Legal D scriptim of P operty (Give complete escr pti rom deed, tax receipt, etc.)
DESCRIPTION OF WORK: Newy Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot X l 3 7 ' Sewage System Stories �—
Const. F,,�� 1 Dimensions Z-/ Z x -2- Total Sq. Ft. / '7 6 Valuation Z..a 41_0..
( Frame, concrete, brick, etc.)
Rooms 6 Baths Basement FkJ1 Foundation Const. Lit v, i` Chimney Fireplace
(Full, part, none) _ (Kind) (Number)
Heat. System r 0 -C- _ Type of Roofing Ext. Finish — i Int. Wall Finish
Use of Bldg.
No. of Units _L_ 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
prsed buildings; (4) distance to property
lines and streets; (5) dimensions of buildings; (6) location of sewage sYs-
a d water supply lines.
NORTH
State License No.
Z Z. 3 0 1 --/ 7 9 0
(� t 7 /
Ind. Ins. Acct. No.
TV
REQUIRED
2 8 i Plumbing Permit
m !
Ll
9" Heating Permit
�� )w
CA p
a Sewage Permit
Plans Received
Z 5' 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 show .
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO
NOT WRITE BELOW THIS LIN11
n
Your street address will be
-
Sewage Permit Number Issued
Remarks
_ The zone is
Building Permit(} Receipt A L Vr Issued
Form A91 Rill.. r-4.