1972, 10-05 Permit App: J4643 Residence•
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.
NATER. 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
Architect
Contractor
APPLICANT FILL IN BELOW THIS LINE
;2 --
ddress �%�-y� � ' " "Phone%%afro `474>
one Engineer Phone
Phone
Address
LegafV1 r' ption. o4Property (Giv cc plete description from deed, tax receip , etc.) / " �,[f .j
DESCRIPTION OF WORK: New
Size of Lot
9 t Dimensions ,77A
crete brick etc.)
` Addition
7C O / 3 D
Remodel Moving Bldg Zone
Sewage System j�
Total Sq. Ft
Heat. Syste
Use of Bldg.
Garage or Carport Attached
Bathsment Foundation Const -� Chimney
u11,,part, none) j --2—:---/
__ %
Type of Roofing —7-- - Ext Fin' 4 / Int. Wall Finish
Private Det -itched
Fire Zone
for s z
Valuation. cc -i&
Fireplace
(Numbe
(Kind)
No. of Units Be. rooms
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.
/pa
NORTH
3°
r
I hereby/ce/tify nformat'.n submitted correct and_there are no other structures located on this property except
as shown.
SOUTH
State License No.
Ind. ins. Act.
m Heating Permit c -
READ
Plumbing Permi
HSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ner or Agent
Date
/42 .--
A LAN • SE OR STRUCTURE PERMIT MUS Y'BE-bN THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9 -12'044 -
Your street address will be � , �" The zone is
\) Sewage Permit Number Issuer Building Perm Receipt 'r S Issued`
Remarks
DO NOT WRITE BELOW THIS LINE
Form 523 Bldg. Code