1972, 08-07 Permit App: J4000 Residence1
County of Spokane, Washington
BUILDWNG CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT gc'c
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 they
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
Architect
Name of Owner / ddress
Engineer Phone
Contractor
Legal De- ' pt on of Prorrty (Give complete des 1.
at
ww
658
DESCRIPTION OF WORK: New Addition Remodel
ne
Address / Phone (�{:yQ.
io, from deed tax receipt, etc. ) 6tJ / / g 0 / ( et 73
Moving Bid
Sewage System
Total Sq Ft.
Size of Lr�/S%t / gel 4,5
Const. Dimensions � )(Li .a.
Roams Bath ../2.L Basement I ✓ Foundation Const.
(Full, part, none)
Heat. SystemType of Roofing . Ext. Finish
Use of Bldg. �G--tit
Garage or Carport Aft ched .2 et,ee.a C44./
(Fram , concrete, brick. etc.)
ine / Fire Zone
Stories / /-
Valuation elaeOn
as,
ChimneyFireplace
(Kin ) (Number)
4-✓4� Int. Wall Finish
No. of Units / Bedrooms .mss
Private Detetched
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 Lio¢ a No.
Ind. Ins. Acct. No.
REQUIRED p
Plumbing Permit Y D"
HeaPermit
Sewage
Permit a./Aga
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby car fy infor7�ati$/submitt dd /I9.co ect and there are no other, yuctures located
onJ.his property except
as shown. _ rAg "r ✓r1 , e
o !/
Owner or Agentat
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S /Nqg�OT A PERMIT.
V . ZI{41
DO NOT WRITE BELOW THIS LINE
Your street address will be__//
Sewage Permit Number Issued Building Permit
Remarks
-r/2_ f _ e _ n .�
The zone is
Recel pt
Form 523 Bldg. Coda
g /f 4/-DG/7
Sketch showing survey of the West 190100 feet of Lot 13, Bkcok.SS, IS ADDITI09
TO GRILIKACSIS, (kzcept the South 5 feet thereof) in the 0ouaty of Spokane sa4 irethe
1 State of Washing6m,
1�
Lad- Mark Surveyors
Liberty Lake, Waahingtoa