1972, 01-25 Permit App: J1712 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99401
O
APPLICATION FOR LANA! USE OR STRUCTURE PERMIT ��
GENERAL REQUIREMENTS
PERMIT FEE .... ----ruc ------------- of ---•---
g or
ki�lTerr land use osstructua lreadyerected, ortochangealanduse.Construction
srequired y �slnto ern
ndorr alteanybuildingorre mast conformrwith 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
jthe surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
I[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.
d until staked by County Road Department and work must e
COUNTY ROADS. Work on street right-of-way may not be performe
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 s County or State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSOFJ BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements runningwith 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
Address
Name of Owner
BPhone 4 "' Q
Architect Phone Engineer Phone
Phone
Contractor Address
—
L ftl Dne� cription of Property (Give complete description from deed, tax receipt, etc.)
lliA; I1LCf17 e?InD —
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone -----/— Fire Zone
Size of Lot Inc) K Ian Sewage System Stories
Const. Dimensions. Total Sq. Ft. Valuation
rame concrete, brit , etc.)
Rooms (� Chimney (/ Fireplace
Baths a ment Foundation Const. �, ` (Kind) (Nu er)
ull part, none)
Heat. System Type of Roofing Ext. Finish Int. Wall Finish
Use of Bldg. No. of Units ___L_� Bedrooms
Garage or Carport Attached Private Detatched
PLOT PLAN a ion
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; ( 3 ) llocationoofesewagegsysa
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6)
tem and water supply lines. Liven a No.
W
1
tA
-4
5 0/
NORTH
SOUTH
in
I herb c�pri,f� in
as shown. IIII fq�ation submitted is correct and there are no other I I� /J ,,//
State
Ind. Ins. Acct. No.
REQUIRED 1� n
Plumbing Permit J
Heating Permit
Sewage Permit
Plans Received -
Plans Checked _
Plans Returned .
Plans Picked Up
Plans Mailed _
located on this property except
OWnVU
or Agent Date
A LAND USE OR STCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be e zone is
Sewage Permit Number Issued
Building Permit L Receipt Q Issued—
Remarks
Changed style of house so submitted new plot plan
some extra sq.footage but not eoughZ—
t thwhile T
Co make new Fermi wor .
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