1971, 07-09 Permit App: J0006 Residencew 0
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.
SETBACK 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 are enforceable throng
h civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner
Architect ,L`d,l _A-r�--
ddress #7-1 i� ,T /.(f 0!Le) Phone Ikea.. X13 to
Phone _Eng ineer Phone
Contractorn , Address
Legal Description of :lefty (Give comple}� des? iption from deed„ tar receipt,
��I —O/ ✓ %11
Phone
—�s _uVI
Y
DESCRIPTION OF WORK • New
Size of Lot Ara j(3/ e `
Const, Dimensions
(Frame, ccrete, brickfite.) n,
Ropms.—(„r_ Baths / Ilr� Basement Foundation ConstQ—YI K -/A
6'
6' 67 .3 6—'= 3
Addition Remodel Moving Bld Zone ___L--1—Flre Zone
T -o ai-qY'>— Sewage System ' '�ri Storie
�F�S'lj I W Total Sq. Ftl �&b AtValuation
...ato
a I, Chimney Fit -enlace
(Kind) (Number
:it Wall Finish
No. of Units Bedrooms 3
Private Detatched
(Full, part, none)
ystem �' Type of '.m log
Use of Bldg
Gera
xt. Finish
ort Attached
PLOT PLAN
etch with dimensions showin§: (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.
NORTH
State License No.
Ind. Ina. Acct. No.
REQUIRED
Plumbing Permit ' )�
Heating Pe4�
rm __
Sewage Pe. gra
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
CSv SOUTH g( -N
I hereby certify information submitted is correct and there are no other structures located on thi
st
shown.
e h
Owner or Agent 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
(
property except
Your street address will be
Sewage Permit Number Issued
Remarks
Build Dig Permit -1, iellReceint
e zone
a
sued
• Form 523 Bldg Cods