1972, 03-14 Permit App: J2162 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMITGI 62
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an7
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 tront 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 car. not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE �, ;J.,_
Name of Owner Q�11�l.f,(9.���- .N.I�vi
r` .(.• Address �� .� -� i,�,_r... _ Phone t1/<t >77
Architect `/ Phone Engineer Phone
Contractor Qy, 1.1-L-- Address Phone
Legal Description of Property (Give •nplete descripti•' from deed, tax regei.t, etc.) , ... _? D 4t`
DESCRIPTION OF WORK:N9w iiAddition Remodel Moving Bldg Zon-e-/- / Fire Zone
Size of t 7-5----k//31Z' r Sewage System Q P.��LL.e'., Stories
Const � L-€- Dimensions,2J`--)(�Fj — i2X / i Total Sq. Ft. %6. 7 7 Valuation -V
(Frame,concrete,brick,etc.) -/',
Rooms to Baths 1 2 Basement]-(-1 X�� Foundation Const. (- '��✓`�"-C-' Chimney Fireplace
(Full, part, none) �j �� p (Kind) (Number)
Heat. Syste �R Typ of Roofing 17"�" 1Q.. Ext. Finish `1.d./%(,c�l/t�i Int. Wall Finish - ..� 4 .1
Use of Bldg._ me_ -2,(2_4o ' r No. of Units Bedrooms
Garage or Carport Attached Aid-, ,-,./al 0.2- ��A:- .1 . ' Private Detatched
4 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_proper y lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines. -'i State License No.
r ��% �� Ind. Ins. Acct. No.
L �h SaT�
(�1 -v is-I_______,,
REQUIRED
( i ��\ Plumbing Permit
Heating Permit v
Permit i/�
p Sewage
V)
Plans Received
3 Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby .ertify info etion submitted is correct and there are no other structures located on this property except
as shown. i ,
,. . , ii,, ., / //-F—7
Owner or Arent I Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT
I-1 , 2 In DO NOT WRITE BELOW THIS LINE��(wt� �'� � i _l.
Your street address will be �" .� The zone is ,.
Sewage Permit Number Issued4 Building Permit Receipt y Issued _----
Remarks
Form 523 Bldg. Code