1971, 03-24 Permit App: I3797 Residence• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
*7‘2?
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.
ents
ng
which lareVenforcie enforceable throughrs civiluld action kCountysOfficialsof ocanants or not bringdactionns toand enforceecovenantslor dedicationthe snd.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner
Architect ' v Phone Engineer
Contractor ,cret y Address
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Address
Phone A
Phone
Phone
DESCRIPTION OF WORK: New 4. ----
Addition
Size of Lot /coy A)./ y'
Const &Q.✓* Dimensions „1(X 2 y 1',.2x74 (t 115i_)
(Frame, concrete, brick, etc.)
Rooms Y Baths / Basement Y
(Full, part, none)
Heat. System s moi? Type of Roofing 4
Use of Bldg. ifes; —,eik e c / /! 4 2.5.-).0
Remodel
Moving Bldg. Zone Fire Zone
I
Sewage System f'pj') - Stories /7
Total Sq. Ft / .7_,Zi Valuation /7 y C
I,
Foundation Const L 6'•7//•C
0.x4Ext. Finish 7//
Chimney Fireplace
(Kind)nn (Number)
Int. Wall Finish Ai,
No. of Units Bedrooms �.
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.
NORTH
I here
as shown.
SOUTH
matign su itted
r or Agent
is correct and there
are no
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures located on this property except
/77/
Date
A LAND ' OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be /9022 /V. .S'i ',pre_ ^y The zone is `— _— =—./�
Sewage Permit Number Issued / Building Permit '3'.7f 7 Receipt Issued /
Remarks
Form 523 Bldg. Code