1971, 02-24 Permit App: I3541 Residence1
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 00<. �✓
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 mast 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 Phone
Contractor 50 77le
Legal Description of Property (Give
Si/
Address
Phone a r q.S`/ y
Engineer Phone
Address Phone
complete description from deed, tax receipt, etc.) 07 / "
i61441 Zi
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone
Size of Lot 1f4A X i 13 Sewage System "la Ac
Const. fie.0..-07, a Dimensions 6-5,-‘ JC.2. f 1X.2 5 Total Sq. Ft /n Y
(Frame, concrete, brick, etc.) r //�i
Rooms_ Baths i Basement Fx IL Foundation Const `_d Are a eX� Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System F-13/3 J /
Type of Roofing O(j.ft.b y� Ext Finish / i-// Int. Wall Finish 0k9fww 1/
Use . Bldg. /er r 06 .tle1C �J No. of Units / Bedrooms .9
)
or Carport Attached 51/ 47- 4
Fire Zone
Stories /
Valuation /1 9#`D
PLOT PLAN
aw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
posed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
Private Detatched
NORTH
1331
I hereby cer
as shown.
ifs, info
SOUTH
ubmitt
correct
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit 1 fL
Heating Permit
.bdi/<c 4/
Sewage Permit Arm t ZL �ie___.
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except
az/ /97/
or Ag 1It Date
A LAND USE OR STRUCTU.E PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT -PERMIT.
Your street address wi 1 be
Sewage Permit Number Issued
DO NOT WRITE BELOW THIS LINE
I
3S
e zone 1
Building Permit 135ET)- Receipt Yd
Remarks
Form 523 Bldg. Code