1972, 01-20 Permit App: J1716 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT PJ
0�
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 most conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. grater 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.
I SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
J 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 ani/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.
APPLICANT FILL IH BELOW THIS LINE„
Name of Owner—Address
Architect Ph Engineer
Contractor � Address—
Le
ddress
Leeal,Description of Property (Give complete description from
. i , ---I i
0
/ J,
tax receipt
�WAM mwl�vA§
Phone 4 - Z/2—Go
Phone
Phone
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone ( — Fire Zone
Size of Lot Sewage Symste- Stories ,,,1
Const. _ Dimensions x fTotal Sq. Ft.
Valuation �_
( Frame, concrete, brick, etc.) (�'^��
Rooms_ Baths __L_ Basement Foundation Const. Cl Chimney � Fireplace
(Full, part, none) (Kind) (Numb )
eat. Systeme Type of Roofing 0,13V Ext. Finish Int. Wall Finish
Use of Bldg. No. of Units Bed�Oms
_
Garage or Carport Attached Private Detatched
6a-4-� �% % 6 ' 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. L' n e No
NORTH
State 1 s
Ind. Ins. Acct. No.
Plumbing Permit
in Heating Permit _
a Sewage Permit _
�n
Plans Received _
Plans Checked —
Plans Returned -
Plans Picked Up.
Plans Mailed -___
RED
SOUTH
I hereby ertiif � n ormat gi submitted is correct and there are no other structures located on this property except
as shown.�i 1 / /', ,, /--s
Ownero Agent Date
A LAND USE OR STRU URE PERMIT MUST BE ON Ti HE PREMISES DEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
' ` DO NOT
WRITE BELOW THIS LINT:
Your street address will be 1_7 10 • e zoneZ4�i�ssued
Sewage Permit Number IssuedB lding Permi �' Receipt_---
Remaris
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