1971, 08-23 Permit App: J0434 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 992
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE` v
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
Name of Owner
Architect
Contractor p,17L.e rr1P0 h4 eV
Legal Dgscrrption properly (Give
ddress
Phone Engineer/ ,/� l Phone,, / / /
I'I 3 Address /5//e/ S1 j� d/+�}i0 ftc Phone�t/4� 4s/2e
complete ripti n fro e)ed, tax rete pt etc
6 c_ i 11 - —
Phone /(14 (O ""Z3/ 7D
-o
r - � - le%7
DESCRIPTION OF WORK: N L w Addition Remodel
Size of Lo //t/ X /.TT
Const i r4 VY) e Dimensions o1 6 )c 76 —6.4 NG 9'G Z'IC, Total Sq. Ft / a0
(Frame, concrete, brick, etc.) /� / /f
Rooms NY Baths .c Basement r G, I /Foundation Const l -L3 %4 C
(Full, part, none) n
Heat. Syste Type of Roofing l� 0 ✓11 PO i Ext Finish
Use of Bldg.
Moving Bldg. Zone Fire Zone 3
Sewage System Stories 4
Valuation, -"W 0 D •
Chimney " Fireplace
/ (Kind) //�� (Number)
D (« a Int. Wall Finish a y14) 4 /1
rage or Carport Attached
raw sketch with dimensions showing: (1)
oposed buildings; (4) distance to property
tem and water supply lines.
NORTH
1 1,n l
No. of Units / Bedrooms
Private Detatched
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-
I hereby certif i ormation
is__show
H
State License No.
c:73
Ind. Ins. Acct. No.
39— i9/
REQUIRED
Plumbing Permit�����/// LI e//e !—
Heating Permit t/)( 9 e/�
Sewage Permit etc rl �'% % 12 q h 4 117
Plans Received
Plans Checked
Plans Returned
Plans Picked U.
Plans Mailed
sd is rrect a there are no other structures located on this property except
ner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
j DO NOT WRITE BELOW THIS LINE
�/
Your street address will be / 5 / 5 e
Sewage Permit Number Issued
Remarks
Building Permit
Date
CONSTRUCTION COMMENCES.
e zone is
Receipt 53/ Issued
Form 523 Bldg. Code
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Iva
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2- j
I hereby certif i ormation
is__show
H
State License No.
c:73
Ind. Ins. Acct. No.
39— i9/
REQUIRED
Plumbing Permit�����/// LI e//e !—
Heating Permit t/)( 9 e/�
Sewage Permit etc rl �'% % 12 q h 4 117
Plans Received
Plans Checked
Plans Returned
Plans Picked U.
Plans Mailed
sd is rrect a there are no other structures located on this property except
ner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
j DO NOT WRITE BELOW THIS LINE
�/
Your street address will be / 5 / 5 e
Sewage Permit Number Issued
Remarks
Building Permit
Date
CONSTRUCTION COMMENCES.
e zone is
Receipt 53/ Issued
Form 523 Bldg. Code