1972, 04-18 Permit App: J2643 ResidenceCounty 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
Name of Own�e
Architect /-,-
Contractor f? f�
Legal Description of Property (Give complete description from deed,pt
Li•,L
1! 1/ ,/^.? Address �� 11• .:t Phone 1
Phone? / .i/ Wil+ glneer �1'/l'r"'!1%!Cl /4 c L' Phone
Address Phone
tax recei etc )
11-1
f
DESCRIPTION OF WORK: New r Addition Remodel
Size of Lot s -- )\
Const. A - ' ti 22,c-- -Dimensions Z '22' r `
(Frame, concrete, brick, etc.)
1
Rooms _ Baths _) Basement .S Foundation Const C .1 i - i-•
(Full, part, none)
Moving
Sewage System
Total Sq. Ft
Ate Bldg. Zone / Fire Zonene 47
-'/ '//< = Stories /
1{-7 Valuation / Y . 75 (
Heat. System L: I— 4 Type of Roofing 7.
•f
Garage or Carport Attached j/1! C//
Use of Bldg.
Ext Finish �Y
Private
Chimney Fireplace
(Kind) (Number)
Int. Wall Finish L-_) : t �'
No. of Units f Bedrooms
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 .'
(
SOUTH
certify information submitted
Owner or Agent
is correct
and there
are no
State License No.
Ind. Ins. Acct. No.
171
REQUIRED
Plumbing Permit
Heating Permit A
Sewage Permit e i / m
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures located on this property except
// / <
Date !!!!!!
R STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
°ERMIT.
DO NOT WRITE BELOW THIS LINE
will be 1A� /4' -"3
Issued
/1r
Building Per
The zone is
Receiptl33Issued