1972, 03-01 Permit App: J2029 Residence • County of Spokane, Washington:
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201 ''
APPLICATION FOR LAND USE OR STRUCTURE PERMIT4.;3 o�
GENERAL REQUIREMENTS PERMIT FEE
IT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of alai
ind or alter any building or structure already erected, or to change a land use. Construction mast 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-HACK 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, cicarance must be obtained pertaining to set-back and ingress
and egress.
COUNTY ROADS. Work on street right-of-say 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 Owner Ye thy' 1»‹. Address 0._„,,,, ,✓ " .�.2- Phone me _
Architect Phone_ Engineer __ __ Phone
Contractor i117r7 E- Address-427/7 2,8: i
Legal Description ofPr perty ( i`ve completes ddescription from deed, tax receipt, etc.) e . ?GI, /�� 91 /6 0
✓�-_g V ' �J`� / r d-- // �f 0 .? .moi -1 /l 7 ' s, . ' /9i a, 6 i
- e)0 is -Y3 . /,5/ .
DESCRIPTION OF WORK:New �ddition Remodel Moving Bldg.Zoonne- / Fire Zone
Size of Lot 16 X /3 .5 Sewage System S / Stories
A
Const.r1--c.t.�.s- Dimensions a- L x .4-/ a Total Sq. Ft. /CI % 4 Valuation' / di
(Frame,conete,brick,etc.)
Rooms 7 _Baths / Basement Foundation Const. Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System _ i Type of Roofing C__o ,-,, /, Ext. Finish I - / 1 / Int. Wall Finish
Use of Bldg. I_•._ fe _ ' -I .. _ O No. of Units Bedrooms
Garage or Carport Attached / 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 and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines. Scat icense No.
NORTH ® / . -
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
sn
IA A
Sewage Permit
-4 tw
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I her ify i ormation b tted is correct and there are no other structures located on this property except
as show
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9.71/L Ti ,0_, g DO NOT WRITE-- BELOW THIS LINE
Your street address will be //J O Y - / r, /�. (4,11_____E) .
n The zone is
Sewage Permit Number Issued Building Perim t _ Receipt __. Issued
Remarks - 0r C)t -
/ ---_—
Form 523 Bldg. Code
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