1971, 03-11 Permit App: I3662 Residence• 1
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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
•✓ Address t' /.-,2/ / / LAVA
Engineer
Address G / .7i '/ /:C/ri
des ription from deed tax receipt, etp.)
/ / G v r �' <�c J , rel
Name of Owner e
Architect Phone
Contractor /Andy ll �. 1,3<. --ch
Legal Description of Property (Give co9p ete
�-c1 / 46/cc
Phone !7L•
Phone
Phone
DESCRIPTION OF WORK: New.. Addition
t //C9'X /
Dimensions 41.'7
Size of
Co -'�-1
( r. 'e, c rete, .rick, etc.)
Ro;T s Baths Basement
(Full, part
Heat. Syste .
Use of Bldg.
Garage o peci-At ched
Remodel
6 gay
Foundatio
Moving
Sewage Sys
Total Sq. F.,
Bl. Zone
one)
Typwof Roofing I - 4 4,4 t kt. Fin'
3la-
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.
:275Y3-041/ 2 PLOT PLAN
Priv
Fire Zone
Ste ,+ es
aluat n r
Chimney - Fir• .1. e �—
(Kind) Number) 2
Int. Wall Finish
No. of Units / Bedro .f
to Detatched
NORTH /ice
•
3d1
State License No.
Ind. Ins. Acct. No.
Plumbing P
n+ Heating Permit
l �U Sewage Permit
I here
as shown.
SOUTH
ertify information submitted is
•11
correct
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number Issued
Remarks
DO NOT W TE BEL
THIS LINE
except
Date
CONSTRUCTION COMMENCES.
e zone is
Buildi.g Permits Receipt
O./
Issued
Form 523 Bldg. Code