1971, 04-05 Permit App: J3911 Residencer
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 dedications.
APPLICANT FILL IN BELOW THI
Name of Owner - W-4- l�a.(�f,• address
Architect i Phone F tgineer
Contractor Address
uJ
Phone k414 -Si .3 o
'9 a -d eD Phone
Phone
Legal Description of Property (Give complete description from deed, tax receipt etc.)
L_ OT 1 13,116;a4 -I IG 1{..0.24r". etc. • 0,11 _ a- s - -eV
CPf„,..24' 3.-7 saw — a co 1 j
DESCRIPTION OgF_WORK: New Addition Remodel Moving Bldg. Zone i Fire Zone
Size of Lot vY X 1 3 3 Sewage System ,:a/ ut-PJt. Stone / 2
P,� - Total Sq Ft , ! 69 ValuatioFrt N
(Frame, concrete, brick,ietcJ V �' ,, al sUJ
RoomBaths � o Basement z Foundation Consl QpN L C imney replace
(Full, part, none) n%� ��;' n (Kind) (���(Number)/
Heat. System 8/4% E- Type of Roofing \ t-.o� Ext Finish 1i �L Int, Wall Finish �C(j/.w
.0_4_,A..f-cam'--
(Wa_I.LL /et l---
1
Use of Bldg.
Garage or Carport Attached
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2)
oposed buildings; (4) distance to property lines and streets;
and water supply lines.
NORTH ggl a2ga,
No of Units Bedrooms
Private Delatched
street or road locat
(5) dimensions ofb
3
ons; (3) location of existing and
irgs. (6) location of sewage SYS -
•
SOUTH
State License No.
as3—.a/- j;' Z
Ind. Ins. Acct. No.
REQUIRED
PlumbingPermit 1 L t t ' 'A .
m Heating Permit �A %f
Sewage Permit �"�' Va6 _
N
y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I herebcertify information submitted is correct and the a are no other structures located on this property except
VUas shown.
EY% 6'tt �l c / Mt .4, 1c �(2r� :1 tCl .
ner or Akent / /
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
e zone is / 1 71
Receipt Issued
Form 523 Bldg. Code
1