1971, 03-22 Permit App: I3741 Retaining Wall )' ..
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMITE
GENERAL REQUIREMENTS PERMIT FE
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.
�A�PPLICANT FILL IN BELOW THIS LINE �L �/J�j�
Name of Owner C� 'i L✓./a-, Address / d 7 l / tr" O a' t-�! Phone
Architect Phone Engineer Phone
Contractor ,• Address Phone
Legal cr'ption of Property (Give complete description from deed, tax recei t etc.)
JP or. ..... / . -----77-1--/ //I 61-41047 -
e_d_ ;f---2; _,54C7,2_,_ _ kd — ,--r-r-
DESC-IPTION OF . w r Addition Remodel Moving Bldg.Zone Fire Zone
Size of Lot -` Sewage System Storie
Const. .- Dimensions Total Sq. Ft. Valuation
c:;,L.,
(Frame,concrete,brick,etc.)
Rooms Baths Basement Foundation Const. Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System Type of Roofing Ext. Finish Int.Wall Finish
Use of Bldg. - / No. of Units Bedrooms
'-
Garage or Ca - _z - ---
:3
g Private Detatched
/ r �c ��
_"'"""' � OT PLAN � ��} �- � '{,,.,
Draw sketch with dimension 1howing: ( .roperty lines; (2) street or road locations; location of exiling and
proposed buildi ; (4) distance to propert• lines and streets; (5) dimensions of buildings; (6) location of sewage sysqc
-
• .• water supply lines.
NORTH State License No. cr
1, ,
Ind. Ins. Acct. No.
7�
REQUIRED
Plumbing Permit
m Heating Permit
m
to v. Sewage Permit
•4 -I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereb ertify information submitted is corre t and there are no other structures located on th' property except
a shown. .."1/CL-pi ®1 �
Owner or Agent Date Y/7
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRA E BELOW THIS LINE
j , / / /
Your street address will be `/�..�, _ �e zone is �/v Zit
Sewage Permit NumberIssued Buil! Permit _ r
`? . ',Receipt - ' led
Remarks
Form 523 Bldg. Code