1972, 06-02 Permit App: J3241 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99401 Cp
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ---------J--_-------------
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 Eegineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
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APPLICANT FILL IN BELOW THIS LINE e p
Name of owner i ddress �r� U Phone W A L- S61 v
Architect Phone _ Engineer �L Phone
Contractor - oK , Address C1 010 9 Phone LQ 4- e5 p a
Legal Description of (Give complete description from deed, tax receipt, etc.)c
DESCRIPTION OF WORK: Newy Addition Remodel Moving Bld . Zone --,L-- Fire Zone
Size of Lot h X i �S Sewage System Stor' •s� � ---
Const.�Asem Dimensions 00:X :21r, `�� �aC a !e Total Sq. Ft.—
(Frame, concrete, brick, etc.) /� ,L_
Rooms Baths � Basement �— Foundation Const. `� t° r/��-y Chimney Fireplace
Ck (Full, part, none) ((�� (Kind) (Number)
Heat. System Type of Roofing SA — Ext. Finish bo � Int. Wall Finish
Use of Bldg. No. of Units Bedtorns
Garage or Carport At 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. No
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�'lannon NORTH
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SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. . _ _ _ n 11 - 1 _ /
' ownek)or Agent Q Date 1
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number
Remarks
F.- t'3.1 CIA_ r_J-
DO jNjOT WR E BELOW THIS LIRE
4 e zone
Issued Building Perm Receipt;
ued —
State License
Ind. Ins. Acct. No.
n
Y
3
Z
a
REQUIRED
s
Plumbing Permit
Heating Permit iwr-• -
Sewage Permit
.u+
plans Received 1
Plans Checked f
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. . _ _ _ n 11 - 1 _ /
' ownek)or Agent Q Date 1
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number
Remarks
F.- t'3.1 CIA_ r_J-
DO jNjOT WR E BELOW THIS LIRE
4 e zone
Issued Building Perm Receipt;
ued —