1971, 05-17 Permit App: I4539 Addition County of Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
,o,
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.
A AP' •ICANT FILL IN BELOW THIS kr
Name of Owne 1 A ,. !..1.1 14 , . :I .I •ddress _I 1i _ Phone / .9g 77
ArchitectPhone Engineer _ Ptone
Contractor _tQ� Address P;lone
Leg. Description of Property (Give complete description from deed, tax receipt, etc.) — &otItf w
i r , �'� _�..���_�s_
DESCRIPTI OF WORK:Nizo Addition Remodel , Moving Bldg.Zone I—Fire Zone 3
Size of Lot ')- T
Sewage System Stories / d
Const. Dimensions L) f.., a l (LTotal Sq.Ft. `J- '---/ Valuation .° D®®
(Frame,concrete,brick,etc.) i
Rooms Baths Basement - Foundation Const. iriChimney _Fireplace
(Full, part, none) (Kind) (Number)
Heat. System Type of Roofing Ext. Finish Int. Wall Finish
Use of Bldg. a(Q l (� j42)c3) No. of Units_. Bedrooms
Garage or Carport Attached �� _.O Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
.. oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
+- • and water supply lines.
/IL/ NOTH Stat License No.
` 9\j/.
/1 Ind. Ins. Acct. No.
J�,,�, ' ) REQUIRED
\� _•-----' Q _ Plumbing Permit..
\ I `N en Heating Permit_
to — to Sewage Permit—.
.4 .4
+ Plans Received_.
if
Plans Checked_.
Plans Returned
_.
1 Plans Picked Up_.
Plans Mailed._
V
SOUTH
I hereb c tify information submitted is rect and ther are no other structures locatted.on this property except
shown. .aLf�� \/ 1 'r ` ) ✓/ i1 I 1 J
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO OT WRITE BELOW T S LINE
Your street address will be ,. _ . L.� I •e zone is
Sewage Permit Number Issued Building Permit Receipts I ued
Remar: _...-- J u 2-74-- .
F( '' - �
� ire e"'r °�� �.#' 4---.7,---."
Form 523 Bldg. Code