1972, 05-23 Permit App: J3169 Addition County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT* ii
°,.
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.
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
/ /i IJ �/ I: 1 Phone Lada CI-3).2,7
Name of Own= i.-' ...a •ddress
Architect
Phone Engineer Phone
Phone
Contractor Z-=i.^/-- Address
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
c..4...e.....e.A.,
ESCRIPTION OF WORK}•New Addition Remodel Moving Bldg.Zone f Fire Zone
7
Size of Lot U )' [ �`c) Sewage System en 7.---44,4-1 Stories
Const. 40. - Dimensions pq_`I'• }"` 9--`1- yG Total Sq.Ft. / U 41 Valuation
(Frame,concrete,brick,etc.)
Fireplace
Chimney Rooms 3 Baths Basement Foundation Const. Ch (Kind) (Number)
(Full, part, ne)
Heat. Syste 1�� Type of Roofing '—
Ext. Finish Int. Wall Finish
ot _�..-i+"" No. of Units Bedrooms
Use of Bldg.•= -
iNKr'." �='' Private Detatched
Garage or Carport A tache /J
41 •T PLA 2
Draw sketch with dimensions showing: (1)A,r..erty lines; (2) street or road 1 cations; (3) location of existing and
proposed buildings; (4) distance to propert• lines a..d streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines. �`�"� �� 37 g e . e•,_No
e6"--)
NORTH
1s. No.
X11
REQUIRED
i A Plumbing Permit
j 30 3®•
m Heating Permit
m N Sewage Permit
-. f f -I
1
Plans Received
-- Plans Checked
Plans Returned
I,I Plans Picked Up
`if Plans Mailed
SOUTH
I hereby certify inf rmation submitte is correct and there are no other structures located on hhis property except
as shown. •
)
` SJ
3/7 L.
Owneror Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
& AJ, DO NOT WRITE`ELOW THIS,LINE
Your street address will b / ! ,- ' /i=� se zone is
Sewage Permit Number Issued Bui ring l�T't Receipt�ro.// Idsued
Remarks 'IIF'I •
ri
Form 523 Bldg. Code