1971, 03-02 Permit App: J3570 Residencekip
•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 992010
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 mast 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 OUILDINGS. 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.
RESTRICT& 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
l
Name of Owner
Architect
Contractor
r
ddress - ' moi/ Phone 7/ ' g-61 37
Phone Engineer Phone
Address Phone
/
L,gal Descri ti ofProperty (Give Le_ pletp
description from deed, tax receipt, etc.)
•
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. one / Fire Zone
Sewage System .....- �z Storie
Size of Lot / f /../ 3 S r
Const.4... Dimensions 9. % —d ) 2-'11 Total Sq. Ft /( c,/ 6 Valuation
(Frame, concrete, brick, etc.)
Rooms Baths / Basement �� Foundation Const Chimney Fireplace
(Full, part, none)
Heat. System Type of Roofing a Ext Finish
Use of Bldg. a, .../..0_,.../..--, «a'�' �f 1 ��
77
Garage or Carport Attached
(Kind)
,./fg-r-� Int. Wall Finish
No. of Units Bedrooms
Private Detatched
(Number)
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-
water supply lines.
NORTH
T hereby
as shown.
certify
SOUTH
information submitted is correct and there
Owner or Agent
State Lice se No.
In' In . No.
REQUIRED
Plumbing Permit
m Heating Permit
NSewage Permit 0
.4
are no other
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
/
•
structures located on this property a .:ept
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be / 1 /° 6 /x -�`�
Sewage Permit Number Issued Building Permit
Date
CONSTRUCTION COMMENCES.
e zone is
Receipt 513 : ued
Remarks /
Form 523 Bldg. Code
0
it\
- 9
I
(
\.,
___r___ - /.._,.7
.
1
i
!
/
Ni
1