1971, 05-14 Permit App: I4363 Remodel•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 9920
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 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.
Ail / /j• PPLICH NT FILL IN BELOW THIS LINE
Name of Owner 1 P �� °% :t�•�.,,, ddr �i% `
r
Itddress
Architect Phone
Contractor
Legal Description of Property (Give complete
75q3- n'
DESCRIPTION OF WORK: New
Size of Lot
Const. r Dimensions
ass - t Err Phone i
leer Phone
Phone
escription from deed, tax receipt, etc.)
cap
Addition Remodel
70
i
7 -
T
Moving Bldg. Zone / Fire Zone _3
`//y`) Sewage System Stories ````��!� `
9— �-- 1Total Sq Ft. 96 n Valuation /' 0-0-13
_ —v
(Frame, concrete, brick, etc.) / ,
Rooms Baths / Basement -- Foundation Const Chimney Fireplace.
(Full, part, none) (Kind) (Number)
-
Heat. System Type of Roofing Ext Finish Int. Wall Finish
Use of Bldg. No. of Units Bedrooms
Garage or Carport Attached_, f / Private Detatched
PLOT PLAN
Draw sketch widimensions 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
State License No.
eao_cee,_
J
OUTH
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby cer�ubmitted is correct and there are no other structures located on this property except
a shown.
Owner or Agen / Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 15 NOT A PERMIT.
Your street address will be
Sewage Permit Number- Issued
Remarks
DO NOT WRITE BELOW THIS LINE
e zone is .1
Building Permit 41 4 JReceip' ssued
0O
Form 523 Bldg. Code