1971, 11-23 Permit App: J1404 Residence•
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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 or dedications.
Name of Owner a' t L dd ws '4 r' /� Phone '773 -
,5�.3�y r r
Architect - O Phone � eer�ginL ! // ' r Phone 2 .$S•4/5/7
Contractor .a me a s AIvo ire. Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lc3 -,. , 13i0Cok 2. /418h vi e v Acres Ad oil
/ 6 —7--s
APPLICANT FILL IN BELOW THIS LINE
DESCRIPTION OF WORK: New ^ Addition
Size of Lot Ike)/� /3e
Const. ! ra 1Vl Dimensions a A/X G 0
(Frame, con ete, brick, etc.)
Rooms Baths Basement / 4 // Foundation Const
/- f A(Full, part, none) /�
Heat. System 6,FA_ ; _ Type of Roofing Camp
Use of Bldg. Owe' 1114 5
Remodel
Moving Bldg. Zone
Sewage System
Total Sq. Ft
6ncre/c-
Woo o[
Garage or Carport Attached
Ext Finish
Fire Zone —
Stories / j.
Valuation /, 001:,
ireplace 1�
(Number)
himney S"0
(Kind)
Int. Wall Finish
.2-0X 2y
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
and water supply lines.
No. of Units
Private Detatched
Bedrooms
NORTH
SOUTH
I hereb tify for tion tted correct
as shown. `
Owner or Agent
m
V1
State License No.
A73-0/
Ind. Ins. Acct. No.
9-7 Lj - g -d. xi
REQUIRED
Plumbing Permit i m ers on
Heating Permit Ern er5041
Sewage Permit C N. ✓If'I !Ad %Qlrh
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
//4-3 7/
DO NOT WR
ELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
Building Permi
e zone is
Receipe3j/
Form 523 Bldg. Code
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