1972, 05-22 Permit App: J3137 MH0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 mast conform with the
Spokane Cougty Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where vork 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 moyed 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 F113. 1N BELOW THIS LINE
Name of owner Pi i/GgiW/./ Aril�Z ddress
264
Phone WR 1{ /#72
Architect Phone Eng Sneer Phone
Contractor Address/ Phone
Legal - -- .Ion f om deed, tax receipt, etc. 14,1A -fit. e24` -3/—Q 6.0
,C.ar tf BA- /re /„
DESCRIPTION OF WORK: Nep : Addition
Siz f Lot 6767411‘). 7
Co4d n"ensions /.2 A SS
(Frame, ucqncrete, brick, etc.)
Rooms / Baths Basement —
f (Full, part, none)
Remodel
Foundation Const
Heat. System Tyr of Roofing
Use of Bldg. ✓*»-n'U- ez.4_-
Garage or Carport Attached
Moving Bl�dgQ Zone— Fire Zone ��•
Sewage System j74,t/Q Stories ./
Total Sq Ft. (0t '6' Valuation OD
Fireplace
(Kind) (N ber)
Int. Wall Finish
Chimney
No. of Units Bedrooms __
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 acd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
- I her er ify lnfortion submit -d
as shown.
State License No.
aInAcct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is orrect and there are no other structures located on this property except
5-227
Owner or Agent Date
A LAND RISE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
1. oL . C. Q4n414._.ac1)-e The zone Ss�.ia o -`D -e /..,�
Issued Building Pere t Receipt 9t 7 Issued
Nw-
Form 523 BIdg. Coda