1972, 06-06 Permit App: J3351 Residence County of Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT j
GENERAL . REQUIREMENTS PERMIT FEE_._ c?
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.
(OUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
- )erformed 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
;ighway, 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 eas• .ents running with the land
which are enforceable through civil action. County Officials can not bring action to enfo' covenants or dedications.
. � ,�, �za �AP• I T FILL IN BELOW THIS LINE / t
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'Name of Owne�0M s _�I..._,r I�Age,L.CIIII/ .dress —.Arid .' L - _ - _ Phone 7—. /c190 7`_
Architect_ Phone Engineer Phone
Zontractor, Address Phone
Lega escrip ion 0/Property (Givecomple - description from/ deed, tax receipt etc.)
J)/(.....7
DESCRIPTION OF WORK:New dditi
Aon Remodel Moving Bldg. one / F're Zone
iize ofL j (f1.5—-4'9 -6 Sewage Sys •..'/_ / _- r .7/.ries I
Cr•_ ...e-4_.',..A Dimensions 7 X<O Total Sq.Ft. / /J4 O Valuatioi/f � .f
(Fr. se,concrete,brie,etc.) / / i
R.:
.5 B.the / Base ••••_. ' Foundation Const.
• _Chimney IC) F' .lace
(F 1, par no (Kind) (Numbber) /J
Heat. System I Ty. f Roofin Ext. Finish 11/ Int. Wall Finish i , A'/
Use of Bldg. f ,(_��Y ..
No. of Units Bedrms �? I`
Garage or Carport At ' hed _ --Air�/ �. Private Detatched
if
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 L' ense No.
n�IIns. Acct. No.
REQUIRED
oi.1) ;
Plumbing Permit 4
m Heating Permit r/
m a
N Vs Sewage Permit
r7j)°:rpi l°)AA( '
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I her-ort' , ormation submitted is correct and there are no other structures located on this property except
as shown, r /
/. A ,APW.: I 6 —6. — L
, Owner or Agent Date
A--LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
TMS IS NOT A PERMIT.
(3-441 DO NOT WRITE BELOW THIS LINE
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Your street address will be ///c2 a (, r`
-J The zone i _-.e. .I
Sewage Perm t Number Issued Building Permit Receipt gay/ Issued
Form 523 Bldg. Code
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