1972, 06-26 Permit App: J3568 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 0
GENERAL REQUIREMENTS PERMIT FE
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 QD/$/4 Address x¢320 A/ $,s Phone Wfl ' '�-%�4i
Architect Phone Engineer , Phone
Contractor '5,41-oF- Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) ,Q,/ C CA` /, 407-1
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot Jli'/T- ?D /�< 0Sewage System sl`'.E.4/� T/l�1/k Stories
Const. Dimensions 4f Y3 li Total Sq. Ft. Valuation 221 SOo
(Frame, ncrete, brick, etc.) V
Rooms Baths 1A Basement f�LX Foundation Const. CQ�/C/��Tf-' Chimney01V 'Fireplace
(Full, part, none) (Kind) (Number)
Heat. System qlgy
Type of Roofing COM/" Ext. Finish *4401VIrX Int. Wall Finish I7lPJ" 4AfXZ
Use of Bldg. 0uJ1r4,4 //Z! y No. of Units Bedrooms _
Garage or Carport Attached —Z :2X 2.i' :;re 9!;;S
Private Detatched
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.
State License No.
SOUTH
2x3-01-9,;(
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit _
Plans Received _
Plans Checked
Plans Returned.
Plans Picked Up
Plans Mailed _
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. /If
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be4614
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS
ld ing
The zoneAReceiptIssued
ISIS/
SL/J/t T9NK
h
�
I01
SOUTH
2x3-01-9,;(
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit _
Plans Received _
Plans Checked
Plans Returned.
Plans Picked Up
Plans Mailed _
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. /If
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be4614
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS
ld ing
The zoneAReceiptIssued