1971, 10-27 Permit App: J1127 Residence0 di
County of Spokane, Washington
IIIIIIIBUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
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 t�
Name of Owner '�'"i Address a /07 f }. - 30 ��-c . Phone ii "ZL Q f
Phone Engineer Phone
/ { iv r"j Address A ... A v. --C Phone
Leg Descri ion of Property (Give completep i
Rps ion from dyed, tax
JaS(/-0190/
DESCRIPTION OF WORK: New el Addition
Size ofIIto / e ls-
Const _A t _Ali ►" ( Dimensions _ 5-9-14 3 L
(Frame, concrete, brick, etc.)
Rooms Baths _ Basement Foundation Const
SI/(Fu}J, part, none)
`ilipe of Roofing
PERMIT FEE
Architect
Contractor
Remodel
Moving
Sewage System
Total Sq. Ft.
Heat. System
Use of Bldg.
Garage or Carp rt Attached
Fire Zone 3
Storks pi
Valuatio 3.i -boo _ dp
Chimney Fireplace �—
(Kind) (Number)
pp✓,f
Ext Finish 'it, f • + , J,/ Int. Wall Finish 12- —
irl r/( No. of Units Bedrooms
Private Detatched
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water suppiYy)lines.
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
!i3
54,
i
4
120'
Go. r .3 2.
0
TH
I hereby cern ify information submitted is correct
Owner or Agent
as shown.
the are no other
State License No.
0a3-6/ -049
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
2
structures located on this property except
C.-1‘ 27 /9 7I
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your
Your street address wi
Sewage Permit ber Issued f Building Permit Receipt 372.2
Remarks
DO N WHITE BELOW THIS LINE
.L -
e zone is
Form 523 Bldg. Code