1972, 02-28 Permit App: J2000 Residence County of Spokane, Waskington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 1iôo
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of ally
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 he 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 en rce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE 99'124
Name of Owner _mar 4,.... 4, .'..../ . .! 9a�
•ddress � _ ./.4 � .4 #, one fr/A -�75J�
Architect Phone Engineer _ _ Phone
Contractor Address _ Phone
Legal Description of Property (Give co p e e descript'on ro deed, tax receipt, etc.),P -scr o/o 4 1- O/D
DESCRIPTION OF W9RK:New I-- Addition Remodel_ Moving Bldg Zone Fire Zone
Size of LA. /4.O ( T— 1
'`1 4,0 � / _Sewage System e4 i.! .. . Stories °-`'v
Const. . ke ,Dimensions U X el-4 _Total Sq. Ft. _Valuation _I 1J�10
(Frame,concrete,brick,etc.) 10i
Rooms ....5- Baths / Basement Foundation Const. _Chiron@�a�2' Fireplace
I���—� (Full, part, none) (Kind) (Num er)
Heat. Systeh Cit . Q. Type f Roofin 0.---O V Ext. Finish Ti/i Int. Wall Finish
Use of Bldg. �1. ,/A.LC /J.�C.L No. of Units Bedrooms-3
Garage or Carport Attached 111 Private Detatched
0 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.
NORTH / State License No.
i6O O.K
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit 6--."---
0
m ` e Ra PdS�D ow Heating Permit
Sewage Permit L�
G RFS/D. -NC4 GJ; i ,4
• ,1" Plans Received
Plans Checked
Plans Returned
a/ Plans Picked Up
Plans Mailed
SOUTH f? /CH'
I hereby cer 'fy information s bmitt %' is orrect and there are no other structures located on this property except
as shown.
fir / ('-C,,v ------ 2-- i-7..
Owner Arent Date
A L USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORk; CONSTRUCTION COMMENCES. 1
THIS IS NOT A PERMIT
c ' -Nkii , I6,,i//5" DO NOT WRITE BELOW THIS LINE
Your street address will be The zone i:,,,.
Sewage Permit Number Issued Building Permiti Receipt f 7 9 Issued
Remarks J
/,