1971, 03-10 Permit App: I3855 Addition4
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
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.
lATER. 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 4E
ONJ &J-1
Architect Phone Engineer Phone
Contractor ti/e n 57 -0 /6( J' a Address Phone
receipt, etc.) / � .c/. ,�1
Address E. �J��2a .-.5-/A/ TO
MOCK — W/1- d/ -/.25'U (p�9Ge
Mese F / - 7- 3/r2/ JOA/
Legal Descr�ipttlon of Property (Give complete description from deed, tax
DESCRIPTION OF WORK: New
Size of Lot 9.3 ' x ) .y/ O '
Const. f j—n R_ Dimensions
(Frame, concrete, brick, etc.)
Addition ✓ Remodel
Moving Bldg. Zone / Fire Zone '3
Sewage System Stories
Total Sq. Ft. 7y9 Valuation
X 3�/
Rooms / Baths Basement Foundation Const
(Full, part, none)
Heat. System Type of Roofing .dX 4-V
Ext. Finish T, t -
:
Chimney Fireplace
(Number)
Use of Bldg. CA. � � /Lc/
Detatched
Garage or Carport Attached 10
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.
(Kind)
Int. Wall Finish
No. of Units Bedrooms
ROR-T-11
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I here certify i ormation subtpitted is orrect and there are no other structures
as ho
+
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
located on this property except
-/- 7/
Date
CONSTRUCTION COMMENCES.
Your street address will be
e s.�
Sewage Permit Number Issued Building Permit
Remarks
w� u c -To a S
____The zone is 0j�
Receipt 3 / ! Issued
Form 523 Bldg. Code
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