1972, 04-12 Permit App: J2551 Remodel viii 2iCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTSPERMIT FEE `
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erecta 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
•
l/F Phone i,eName of Owner _ ..a-- A, _ _ .r -- •ddress _- mels ,4 O�
Architect_ Phone Engineer Phone
Contractor Address ^ Phone
Legal Descript o�roper y (Give complete description from deed, t x receip , etc. Ca-� �J 71' -2 SI°1
ZZ- r /f/ •..k'to 6 ' /2 5 }E
. ,--Ce----)-7�o 0 _& r
DESCRIPTION OF WORK:New Addition Remodel X Moving Bldg.Zone Fire Zone /
Size of Lot /A)-2 5( . ? Sewage Syste mic- ' Stories °C3
(Frame,
7 y+�@ Dimensions ,X .30 Total Sq. Ft. ff'/t1 aluation '
(Frame,concrete,brick,etc.)
Rooms .--Baths Basement Foundation Const. - - - - Chimney -- --Fireplace-_,-_____u
(Full, part, none) (Kind) (Number) —"-
Heat. System - Type of R fing T" -----Ext. Finish -�--- Int.Wall Finish _ -
Use of Bldg. 1 L %.-iJ - X.-t P '"�'1 7/x f%' No. of Units Bedrooms
Garage or Carport Att`Ached Private 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. State License No.
_NO/f69\_ _ __
Ind. Ins. Acct. No.
k_ .04/142k4/-
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1,+�' REQUIRED
C1) Plumbing Permit
:,)• en Heating Permit
nit
-1 </ j� 7S"i _) MI Sewage Permit
Plans Received
Plans Checked
Plans Returned
) Plans Picked Up
�)i
. Plans Mailed
c2-iitik% ,__
50U
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. /-) 2.
t4.
Owner or Agent Date
A LAND USE OR STR CTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. ti_l
DO NOT WRITE BELOW THIS LINE at,
Your street address will b — �� -'. /� 411 'e zone is —_____--- % - 1 _
Sewage Permit Number Issued Building Permi� / Receipt )3� Issued
Remarks
_ .