1972, 09-28 Permit App: J4660 Residence, Renewal of J0699 County of Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT,-
GENERAL
ERMITGENERAL REQUIREMENTS PERMIT FEL.__l+
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
. vkich are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
def Owner ��� _ �� i -_ i._a_ ddress i 6- i • one 4 '"6---7 Csr-)
Architect AgePhone Engineer Phone
Contractor Address Phone
Legal Description of Property (Give complete descript'+n from deer, tax receipt, a c.)
DESCRIPTION 0 /ORK:New ✓A.dition Remodel Moving Bldg.Zone � Fire Zone
-ize of 1,9' £ L 5 ,a2 . Sewage System �J �,/i Stories
or
Cons 7'/�i� •imensions Vc---3y 7`' Vdj4�7 Total Sq.Ft.,- 1 .f71-- Valuation`—^
r. concrete, .rick, tc.) ado
•s• s_ Baths Base - ••;_ _ Foundation Const. -7,-e�12 Chimney Fireplace
(Full, pone) (Kind) (Number)
Heat. Syste ,t gs .• of Roofing Ext. Finish Int. Wall Finish
Use of Bldg. i No. of Units Bedrooms
Garage •__ N.ort Attached (2f Private Detatched
PLOT PLAN
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.
NORTH �J ,) State License No.
? Ind. Ins. Acct. No.
( 3
v 1p 9 REQUIRED
Plumbing Permit
n� Heating Permit
m '
to - / Sewage Permit
Plans Received
/ Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
ere)✓ certify inf mation ubmitted is correct and there are no other structures located on this property except
as sh n. / _-
Owner ore Date
LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
HIS IS NOT A PERMIT.
1:5- Ai di CAO DO NOT WRITE BELOW THIS LINE
Your street address will be ./moi` i _ ar ' 4a01_;.. .,e is Z./
Sewage Permit Number Issued Building Permit 1 • ceipt _ ssued
Remarks 7/
Form 523 Bldg. Code