1971, 11-12 Permit App: J1324 Residence•
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
33&) °)
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. 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 enforceablethrough civil action. County Officials can not bring action to enforce covenants or dedications.
A� LICANT FILL IN BELOW T
Name of Owner
Architect 1 Ph a Engineer Phone
/
Address
Contracto
Le: 1 Des
Give' complete
Address
escription from deed, tax receipt, etc.)�� --�
/.3 -
-/Fl,1
DESCRIPTION OF WORK: New I Addition
Size of t } y
Const iLQ^^-ue— Dimensions+s�$'/132 /,I
(Frame, c trete, brick, tc.)
Rooms Baths Basement
(Full, part, hone)
Type of Roofing
Remodel
Moving Bld
Sewage System
Total Sq. Ft.
Heat. Syste
Use of Bldg.
arage or Carport Attached
Foundation Const
Phon
o e / Fire Zone
Stories f
0sv�
Chimney Fireplace
(Kind) / (Ntunber)
Int. Wall Finish
No. of Units /
Private Detatched
Ext. Finish
Valuation
Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
ca,,,,sfr
l35'f3
W 0/0-ioe
I hereby
as shown.
SOUT;/
infor, tion
�., _ _
State License No.
2 3--.0/—/OZ/-2—
Ind.
—o/--/06/-2-
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ect and there are no other struct res loc
ted on this property except
_Owner or Agent Dat
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be .
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
Building Permit
+.e zone is
Receipt
Issued
Form 523 Bldg. Code
1T V+4/ fit F