1972, 02-15 Permit App: J1938 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE_$35.00
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. Cpunty Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of owner R. H. Hoover, Inc. Address E. 14208 Sprague Phone WA4-9520
Architect Phone Engineer , Phone
Contractor Same Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 4, Block 5, Opportunity Terrace Estates
Parcel # ',nn" IVd P C-4- / /i✓✓ Ja e j —a; 1 y
DESCRIPTION OF WORK:New X Addition Remodel Moving Bldg.Zone 1 Fire Zone 3
Size of Lot 90 x134 Sewage System Public Stories 1
Const. Frame Dimensions 56x26 10x21 Total Sq. Ft.1676 Valuation $28,000.00
(Frame,concrete,brick,etc.)
Rooms 5 Baths 2 Basement Full Foundation Const. Concrete Chimney Brick Fireplace 2
(Full, part, none) (Kind) (Number)
Heat. System GFWA Type of Roofing Shake Ext. Finish Wood Int. Wall Finish Drywall
Use of Bldg. Residential No. of Units 1 Bedrooms 3
Garage or Carport Attached 2 Car Att. Private Detatched
Project #169 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.
NORTH State License No.
223 01 10073
Ind. Ins. Acct. No.
SEE ATTACHED PLOT PLAN
REQUIRED
Plumbing Permit Emerson
m Heating Permit United
H H Sewage Permit Long
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereb, certif nformati.. —.mitt— is correct and there are no other structures located on this property except
as shown.
Owner.. Age. Date
A LAND USE OR STRUCTU •E PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9-,I1_ -4 DO NOT WRITE BELOW THIS LINE
Your street address will be 3 l 6 dc e zone is i
Sewage Permit Number Issued Building Permit/9,,JPj Receipt Issued
Remarks
Form 523 Bldg. Code
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