1971, 10-26 Permit App: J1140 MHCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE..
kindand use or
ect a buildig or structure of any.
PERMIT orr alteranyany . A lbuilding or structurrpermit e alreadysrequired berected, ory touCochangesal land use. erConstructionnmust conform with
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection. the
WATER. water supply must be approved by the County and State Health Departments. Where work muster connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Of[ice.
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
hich are enfo ble through civil action. County Officials can not bring action to e:,r y covenants or dedic+tions.
NT FILL IH BELOW T IS Ls
Name of Architect
r,/�'FJI.//.fVir,, ..
Phb
Si
Contractor]
Legal Description of Property (Giveam .
...: ress /' ri1t1�I/ii/i/. is•, .::
gineer Phone
ress Phone
oan de:. tax receipt, etc.) / i •-
DESCRIPTION OF WOR
Size I Lot
C
(Fra e concrete,y/ick,etc
Ro. a 3 g
Addition Remodel Moving Bld'Zone Fire Zone
Sewage Syste /-i7 _ Stori _/
ns - Total Sq Ft. / i ValuaSlofi (-S-:fl 0?)
a {-6�
Ba
Ad
piete descript
��171111.��i�
Heat Syste
Use of Bldg
Garage or Carport Attached
Pri ate Detetched
PLOT PLAN
Draw sketch with dimensions showing: (0 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.
—�— ui anent Foundation Const. Chimney Fireplace
(Ful , part, none) (Kind) (Number)
i= Type of • • .fing Eat Finish Int. Wall Finish
-"'� No. of Units Bedrooms
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
I herebycert fy informatiy submitted is correct and there are no other structures located on this property except
as shown. "I/
,e! /.0—a6, 7/
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUS RE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS ISNOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street adress w111
Sewage Perm
Reks
e //AV •a C Cz The zone 1"
Issued Building Permit
,.,��w�� i Recelbt Issued a
�/=lis— t gran, AWA A� L �,
r Ar
Or
Form 523 Bldg. Code