1972, 02-03 Permit App: J1781 ResidenceI
1 •
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 ally
kind or alter any building or structure already erected, or to change a land use. Construction most 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 Noe. 45-133 and 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most r,ircurstarces, a set -hack 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 he 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
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.
REESCTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
wh i'ch are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
or State
APPLICANT FILL IN BELOW THIS LINE 19206
Name of Owner tt/,NI• Ree,rc=s Address e`=cfS-S_PieY:ce (12‘,Q phone
Architect '4 of P Phone Engineer Phone
Contractor S'4 ni a Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
P' 593 —0Z0V
90,9-/4/0 %
lo% y 1 Lh' y,mhew Lni✓�
DESCRIPTION OF WORK: New Addition
HO
Size of Lot / O .' /SO
Const r/%1/ye Dimensions 65(56 4 2-I/X2.t
Remodel Moving Bldg. Zone Fire Zone •
a
Sewage System SF' teres. Stories
Total Sq. Ft. 2 90 %i Valuation •3 % O U 0
(Frame, concrete, brick, etc.)
Baths 2 Basement Ft/ c
t- (Full, part, none)
Heat System / A" 6- Type of Roofing
Use of Bldg. S/.YC'le `4ntif
RoomsJr—
Foundation Const
s4 4 -re
e c
GUN G
Ext Finish
Garage or Carport Attached--ii-/t'
r-1-
Chimney JAS Fireplace 21.(Kind) (Number)�
G
CDA -R Int. Wall Finish 14// i S//
No. of Units � Bedrooms -3
Private pet atched
PLOT
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.
N
NORTH
A 77—
State Lice No.
Ind. Ins. Acct. No.
REQUIRE D
Plumbing Permit
n Heating Permit
N Sewage Permit
,1
H
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
fa
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES REFORH CONSTRUCTION COMMENCES.
THIS IS NOT .4 PERMIT.
as shown.
Your street address will be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
Issued
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