1972, 09-11 Permit App: J4325 Deck County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 4
APPLICATION FOR LAND USE OR STRUCTURE PERMITo----- C--e
2-
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 enfo seable/through civil action. County Officials can not bring action to enforce covenants or dedications.
j-�,�vy_ , /,,. (0,7 flLICANI FILL IN BELOW THIS LINE , �y�0,Q7
Name of Owner/ , Address ____t__,461 2- 2 Phone
Architect Phone Engineer 91 al- C) 6 Phone
Contractor( , ,, I _ .. 6--6 . 03/0 7z_450-1-i (1 Phone . -fix f-tJ 2- 247
Legal Description of o.erty (Give complete descr'ption from deed, tax receipt, etc.) 0 7 5 41 ,9 2 yc, .-
Z.,61---- — Ag- /.L - - .- /I
IJP �„ was!,
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DESCRIPTION OF WORK:New Addition Remodel Moving Bldg.Zone / Fire Zone 3
Size of Lot �/ � A'Sewage System Stories
Const. Z.,----- )<� Dimensions /6 ) Total Sq.Ft. Valuation 0_, _‘:!)._(1_____c4-------
(Frame,concrete,brick,etc.) n -�
Rooms Baths Basement Foundation Const. e, t1L 4 A,(.. y-O _Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System Ty/pelf Roofing /,��Ext. Finish Int. Wall Finish
Use of Bldg. I.-z.r - i —,�)4_1 ,.I. _� ..el..f 4..�c_./ No. of Units Bedrooms
Garage or Carport Attached 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) distant to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
r
and water supply Pies.
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State License No.
40
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"Ina. Ins. Acc No. i
-14-6.e.42.' 3'—cl D.
REQUIRED «ud 6 _
i
_„(�, / ..k��- ,, Plumbing Permit
'4 7 d - Heating Permit
m
to N Sewage Permit
Plans Received
Plans Checked
7.5--- Plans Returned
Plans Picked Up
` / Plans Mailed
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SOUTH
Ite
eby certify i ormation submitted is correct and there are no other structures located oj� this property except
as Z / j
Owner or Agent Date / / ///7
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES:
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be - ___ -�' d
.-- e zone is
Sewage Permit Number Issues
Building Perp tceipt /i' /ssued
iv r
Remarks . .
Form 523 Bldg. Code