1971, 08-31 Permit App: J0676 RelocateResidenceCounty of Spokane; Washington
BULLDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGT 99201r� S
APPLICATION FOR LAND USE OR STRUCTURE PERMIT%) 50
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of 5117
kind or alter any building or structure already erected, or to change a land use: Construction most 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 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 FILL IN BELOW THIS LINE
Name of OwnerAddress -- 0' /m -Architect Phone`��!-'�� / / -
Contractor
Phone _Engineer' - �+ Phone
Coptractor AddrBssPhon
Legal Descr ii' o roper (Giv complete �: criDtion from de d, tax re 1pt, etc.) �..�fe
or % --
DESCRIPTION OF WORK: New Addition
Size of GO X/27
Const Dimensions 0- R. -r3 /
(Fra e, cvytcrete, rick, tc.) n /n
Rooms "/ Baths / Baseme
( ull, par
Heat. Syste Type of Roofin
Use of Bldg;
Remodel
Moving X Bld; Zone
Sewage Syste
Total Sq Ft.
Fire Zone
tones
ValuatiotC 105 0e2
Chimney Fireplace —
(Kind) 0 (Numbe
t. Wall Finish
o. of Units
Ext. Finish
Garage or Carport Attached
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
(09
I
W
Private Detatched
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines acd streets; (5) dimensions of buildings; (6) location of sewage sys-
SOUTH
I herebyon submitted is correct and there are no
as shown. (IP
/Ow4er or Agent
State Lie se No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures located on this pro9erty except
, A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
-THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
Your street address will be
Sewage Permit Number
Remarks
L
Issued
Building Pe
e zone s--.t�-"`�" -
Receipt . slued
Form 523 Bldg. Code