1972, 08-04 Permit App: J3974 Residence411 i
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT a
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 most 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.
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Phone V✓A-g(57 7
APPLICANT FILL 113 BELOW THIS LINE
Name of Owner ddress
Architect Phone Engineer Phone
Address
Contractor ��yGLL
Legal Description of Property
(Give co
Tete,description
�Q Pt) 9ne
/
rpm deed, t'.x ec' ipt, etc.) iI (l-�'-C:�� z���
•
DESCRIPTION OF WORK: New Addition
Size :et '-
Remodel
Moving Bldg. done Fire Zone -,1
Sewage System Stories / a O
Total Sq. Ft. 9 Valuation 3dt000
(1.41--14.--C-4-a-1_,/(1.41--14.--C-4-a-1_,/ Chimne���ireplace Q
�g-y� (Kind) (Nu�
Ext Fs7i tint. Wall Finish t(L
No. of Units Bedrooms
Cons -4t'act4t:Q Dimensions .5D(31 / (/1
(Frame, concrete, brick, etc.)
9 Baths Basement Foundation Const
' ( u , part, none)
ype/ Roofing
Rooms
Heat. Syste
Use of Bldg.
Garage or Carport Attached
4 4.40
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Private Detatched
PLOT PLAN
proplinesra*dty lines; (2) streets; (5)reet or dimensionnss of buildings;d loctions; (3) (6)location locationof ofexisting
and
sewage sys-
I hereby
as shown.
tify informat on mitted is
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Q,
correct and there are no other
Plans Received
Plans Checked V—
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
7
-er- DO NOT WRITE BELOW THIS LIME
Your street address will be - 1
Sewage Permit Number Issued
Remarks
I _-
k
Buildin mit
ff
e zone 1
Receipt:0 6
Issued
Form 523 Bldg. Code