1971, 07-21 Permit App: J0129 Residence1!
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4110
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 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 enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Y, Name of Owner. iri Address L � J j S 1 1 S� tl r--) Phone KT- —LI - L' (a [ { �i
Architect Phone Engineer Phone
Contractor Address Phone i
Legal Description of Property (Give complete description from deed, receipt, etc.)
_mss `7 g-3/4,...<2 ,-7 cMn,,e i_ <`s
N.`49 11 5 _ VIAx
DESCRIPTION OF WORK: New y Addition Remodel Moving Bldg. Zone 1 Fire Zone
-7.5-)( /
Size of LotgSystem_j P 1 C" Stories
S
/S r
Sewage
Const.�i� � ,_ Dimensions 411. )( f Total Sq. Ft. / Valuation <J��'�'
(Frame, concrete, bric)c, etc.) �. \ %J
Rooms_ Baths / Basements Foundation Const _o r, C'r- \C' Chimney (� h 1 c . , Fireplace _t
ull, part, none) (Kind) (Number)
Heat. System CL:(( 5 Type of Roofing C,-_"c�. V Ext Finish \__p..1tir Int. Wall Finish Su n. tI+�=.I
Use of Bldg. Okt 5 t `h.0 No. of
Units / Bedrooms
Garage or Carport Attached Private Detatched
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.
NORTH
I hereby
as shown
infor
SOUTH
er
A LAND USE OR STR
THIS IS NOT A PERMIT.
or Agent Da
E PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
State Lic se No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit I1 &
�n Heating Permit
HSewage Permit (
bbmitted is correct and there are no other s
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ructvlres located on this property except
'-1
Your street address will be
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
Build .g Permit
in
e zone is
Receipt
Form 523 Bldg. Code
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