1971, 11-12 Permit App: J1320 Residence411) •
County of Spokane, Washington
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
e wok must be
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engin
MOV:NG 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.
PLICANT FILL IN BELOW THIS NE
Name of Owner
Architect
Contracto
Leal
Des i
ddress
Engineer
Address
S
Phone ^k
Phone
Ph
description from deed, tax receipt,
/J -T'-2 ,1' tP t4' 6
Lf� -13 SH-- - /7"/
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. one Fire Zone
Size of L t 90 A IS -ss- X y G� Sewage System��----sem-- Stories/ BD
Const. imensions 3 2— f 1 /1 / Total Sq. Ft. L� Valuation /7 O
(Frame, co trete, brick etc.) /
Chimney /Fireplace /
Baths (Kind) i (Itmber),
etc.)
til
Heat. Syste
Use of Bldg.
Basemen
ull, part, none)
Type of Roofing
Foundation Const
Garage or Carport Attached
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.
Int. Wall Fini
v i
No. of Units / Bedrooms 2 —
Private Detatched
NORTH
b- l3s'f3- 170,
SOU Tie
I hereby fy infor.'tion ted is c. ?ct and there are no other structure loco d on this property except
as shown.
State License No.
,.1.2,3---01/ -/D6/.z
Ind. Ins. Acct. No.
0277,,-70
REQ IRED
Plumbing Permit
�n Heating Per
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
7/
Your street address will be f
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
Building Permit
e zone is
j3020 Receipt 3E
Form 523 Bldg. Code
Y.:
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