1972, 03-16 Permit App: J2184 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LANG? 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.
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 enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BILLOW THIS LINE
Name of Owner • (2.4Cr Address Phone 10—a �� �% .�
Architect Phone Engineer Phone
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) r
�!�-a S,6 7
DESCRIPTION OF WORK: New___.l --- Fire Zone
Addition Remodel Moving Bldg. Zone
Size �—
of Lot I/� 11! > -!-. -)r / / i" Sewage System, - Stories
Const. Dimensions f, �� 7 LJ, Ck - Total Sq. Ft.
Valuation`�� —
(Frame, concrete, brick, etc.) _ J��
Rooms Baths �_ BasementJ�r,'�� Foundation Const. '' /' " `1 �" - ChimneA_ / Fireplace «
(Full, part, none) - (Kind) (Number
Heat. System T xt. Finish l
— ype of Roofing I� Int. Wall Finis—
Use of Bldg. k aC2-< No. of Units Bedrooms y
Garage or Carport Attached ` Private Detatched
.y PLOT PLAN
Draw sket4� with dimensions showing: (1) property lines; (2) stor road locations; (3) location of existing and
proposed buildings; (4) distance to property lines ard.streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines. N
1A
-4
NORTH
R'
-a/, � £
Ib
�J
SOUTH
r6y--Ortify informatioq,9*mitted is correct and
State License o.
Ind. Ins. Acct. No.
REQUIRED
are no other structures located on this property except
Owner or Agent Date
A LANA OR STR CTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERM .
Your street address will be
Sewage Permit Number Issued
Remarks
form S23 Bid— Cod.
DO NOT WRITE BELOW THIS LIME 11
e zone
Qis,,����
Buildingtm� Receipt`_T/ Issued _---
Plumbing Permit
w�
Heating Permit _
Sewage Permit _
L
Plans Received
Plans Checked _
Plans Returned -
l-�-p
Plans Picked Up.
Plans Mailed _
are no other structures located on this property except
Owner or Agent Date
A LANA OR STR CTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERM .
Your street address will be
Sewage Permit Number Issued
Remarks
form S23 Bid— Cod.
DO NOT WRITE BELOW THIS LIME 11
e zone
Qis,,����
Buildingtm� Receipt`_T/ Issued _---