1971, 11-12 Permit App: J1323 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE________________________
MMIT 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. 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 enforce covenants or dedications.
Name of Owner
Architect
DESCRIPTION OF WORK: New
Size of Lot 7,5- is /c-?
Cons£-7/Le =-� Dimensions
(Frame c ncrete, brit etc.)
Remodel Moving
Sewage System
% Total Sq. Ft.
Rooms Baths Basement Foundation Const.
(Full, part, none)
Heat. SysteType of Roofing t- � Ext.
Use of Bldg. _!L d:f=
Garage or Carport Attached
Phone-�
Phnne
_ Fire Zone
-
Stories�
Valuation / /.c
No. of Units _
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 sunnly lines.
SOUTH
State License No.
Ind. Ins. Acct. No.
2 7 9r, .Z f a
REQ IRED
Plumbing P—if
�w Heating Per
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I here r fy inforg ion suj itt is corre d there are no other structures
as shown. _ �// �J . i
Ir Owner or V llfite/
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONS
THIS IS NOT A PERMIT.
Your street address will be /7 _ -7-
Sewage
Sewage Permit Number Issued
Remarks
Form 523 Bldg. Code
DO NOT WRITE BELOW THIS LINE
e zone is
Building Permit t LL3)--ceipt 3k
op thi property except
I/
ION COMMENCES.
Issued
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FRISKE CONSTRUCTION CO,
911 S PROGRESS
MADALE, VVA5H 99037
vv'A, 4.5047
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