1971, 11-12 Permit App: J1299 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMI'-
GENERAL REQUIREMENTS PERMIT FEE 30
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. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owne
Architect PhoneEngineer Phone
Phone
d2
ddress
yea ��YCJ,a
Phoneyae, k/Sr0 ?
Contractor
l
Legal Descriptio of Property (Give complete description from ,reed, to receipt, etc.)
7
Address I, e o7,t co
DESCRIPTION OF3/' k %O Q ' Sewage System S % ORK: New I"Addition Remodel Moving Bldg. Zone ___/__ Fire Zone
Size of Lot Stories
,� ( 1-4v Total Sq. Ft. /b O Valuation
Const Dimensions (Frame, concrete, brick, etc.)
Rooms Baths / Basement foundation Const Chimney — Fireplace
(• ull, part, none) (Kind) (Number)
Heat. Syste L Type of Roofing e-i'+�`Q Ext. Finish Int. Wall Finish
3
Use of Bld
Gan ge or , rport Attached /y 4''/1//0
PLOT PLAN
rraw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
osed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
m and water supply lines.
No. of Units Bedrooms
Private Detatched
NORTH 5-A
I hereb
as shown.
SOUTH
ormation su
D
M
H
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Malled
orrect and there are no other structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number
Remarks
DO NOT WRITE BE OW THIS LINE
Issued
Forrn 523 Bldg. Code