1972, 01-17 Permit App: J1723 Remodel • County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT_
GENERAL REQUIREMENTS PERMIT FEE
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 e
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
" �e phone_6'_-/C,-1--i,_____ ___. l-7-'2t..3
Name of Ownerr �tt GC '= dress , ��) Phone
Architect_ Ph Engineer
Address Phone
Contractor 9
Legal Description of P opert : (Give c mKiiplete escript;72ion from d ed, tax ceipt, etc.) -
�1{ oj ,
/ r
,/ Bldg.Zon Fire Zoney
DESCRIPTION OF WORK:New Addition X Remodel Moving rte_
Size of Lot
� i'�� Com. C' 2 Sewage System Sts Const. dimensions
Total Sq.Ft. aluatio
(Frame,concrete, ric]g,etc.) Fireplace
Rooms Bath Basement Foundation Const. �. Chimney ------- (Number)
(Full, part, none) (Kind)
Heat. SystemTy a of Roofing .--Ext. Finish Wall Finish
, � �� /1d , of Units Bedrooms
Use of Bldg. -�-��' 2e� '— "`.--,d.--e. *�
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. State Licen No.
NORTH
Ind. Ins, Acct. No.
•
__, ••t-'2®�„may�P ��
y
�z i
7,5
REQUIRED
6 Plumbing Permit
t.
* m Heating Permit ______-.2 .0=57--.1<---
m a Sewage Permit
N1 M
-1 •i
Plans Received
Plans Checked
Plans Returned
Picked Up
Plans Mailed
SOUTH .
I hereby ce t"Yy information _submitted is brrect ,d th• =are no other structures located on this property except
as shown.
Owner or AgentDate
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 will be //
7c 6, P The zone is _C: � 'c`
Sewage Permit Number Issued Building Permi ) Receipt sued ---
Remarks