1971, 03-04 Permit App: I3771 AdditionL-1
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County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIL,
GENERAL REQUIREMENTS PERMIT lr�
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.
NATER. 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 y f�^� -41 Xe4t Address /7 (ie Phone /14 1 S,� 7y
Architect Phone Engineer Phone
Contractor Address Phone
4ie c / # /Ys --y 42
DESCRIPTION OF WORK: New Addition X Remodel Moving Bldg. Zone -_ Fire Zone
Oaize of Lot a -- 151d /Q Sewage System Sir//a 7 Stongs
onst. Dimensions / ( �� r J- b Total Sq. Ft. 3 7 _2 Valuatio
Frame, concrete, brick, etc.) yG ,3J Q O
Rooms Baths Basement Foundation Const. Chimney Fireplace
(Full, part, none) (Kind) (Number)'
Heat. System , . JType of Roofing Ext. Finish Int. Wall Finish
Use of Bldg. No. of Units Bedrooms
�PD
or C port tached Private Detatched
IPLOT PLAN
w sketch with mensions 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 State License No.
Ind. Ins. Acct. No.
�9 REQUIRED
Plumbing Permit
IS a" Heating Permit
�* a
1A r b� N Sewage Permit
/
Plans Received
Plans Checked
/ Plans Returned
5� J� Plans Picked Up
Plans Mailed
T
I hereby
as
SOUTH
information submitted is c
a`there are no other structures located on this property except
311'7 /
ner or Agent Date r
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number
Remarks
Form 523 Bldg. Code
DO NOT W TE BELOW
CJ
Issued Build g 1
IS LINE
zeThe zone is
t Receipt esus