1971, 10-18 Permit App: J1048 AdditionCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE V
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 mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction Is subject to inspection.
EATER. 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, 45-153 and 47.235.
SET -RACK 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 he improved by the County Engineer.
MOVING 01 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.
WI.
Name of (lwne s, / // i. • e.ITIA , - .. ,
Architect q Phone
Contractor / X12241/)
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Legal Descriptio�f operty (Give
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APPLICANT FILL IN BELOW THIS LI E
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Address Phone
plete description from dee
DESCRIPTION OF WORK: New _ Addition Remodel _Moving Bld .Zone
Size of 'C' -k -,-? C.' %
Con Dimensions /612 >0 9Y/7 Total Sq. Ft. 9-68 Valuation
IFra , concrete, brick, etc.)
Ro s Z. ----Baths Basement Foundation ConstQ q
(Full, part, none)4 Chimney Fireplace
(Kind) (Number)
pe of Roofing Ext Finish Int. Wall Finish
o. of Units _ Bedrooms
Fire Zone— -
Sewage System Ox / Stories
Heat. System
Use of Bldg.
Garage or Carport Attached
PLOT PLAN
Pri ate Detetched
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; (S) location of sewage sys-
tem and water supply lines.
NORTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information s bai ted 1 correct and there are no other structures located on this property except
1 as shown.
Owner L Agent Date
A LAND USE OR STRU TUBE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Tour street address will be
Sewage Permit Number
Remarks
00 NOT WRITE BELOW THIS LINE
Issued
Building Permit
oras 523 skin. rade