1971, 11-12 Permit App: J1298 Residence41/1
r ...
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT9CJ of
GENERAL REQUIREMENTS PERMIT FEE b
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 1s 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 Noe. 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 OP 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 ate enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner i.; 1 �. , i '...�-ddress fifO___Ziii._ C��k �1� Phone ale l C)c' % 5
Architect PhoneAEngineer �Y) Phone
Contractor{�(/^,1,-%' /L-_ ' Address L�O7 4/ (Pry Phone
Legal Desc tptj�'oProperty (GSv:OO""�'o""_i/ description �flromde'ed, tax `receipt,/a/c.) n ,_moi 6i[ --#D
----4,--Er .15 Rol /-fie
t r ,2.3 S�� C�ri7J .VL'!/ OG(71/oq —�fo`T 6) J
DESCRIPTION OF WrORK: N Addition Remodel Moving Bldg. Zone / Fire Zone
(
Size of Lot eb 1 1 U Sewage System Stories yy
Const. f Dimensions ( C x tea Total Sq. Ft. /O 47 Valuation ,' V
(Frame, concrete, brick, etc.) / ^ �}— Fire lace
Rooms Baths//—_Basement r/ Foundation Const./l r•_ w . 1 Chimney P
ull, part, none) (Kind) (Number)
Int. Wall Finish
Heat System j i# Type of Roofing t - j Ext. Finish
Use of Bldg. /� 4
Garage or Cgrpo; t e.
PLOT PLAN
Draw sketch w th 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.
No. of Units _ Bedrooms
Private Detatched
3
SOUTH
H
REQUIRE
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I he/fy info mati vitt: is correct and there are no other structures located on this
property exceptp
shown.
Owner or gent Date
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 .111 be i %/ ?-
Sewage Permit Number Issued
Remarks
Building Building Peral
-
.e zone Is /��1'
Recel)t nailed
Form 523 Bldg. Coda