1972, 02-25 Permit App: J2017 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
3o
GENERAL REQUIREMENTS PERMIT FEE e .
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.
TATER. Water' supply must be approved by the County and State Health Departments. Where work on water connect Ions disturbs
the surfaces. t shoulders ar ditches of County Roads
permission must be obtained from the County Engineer's Office.
SEWAGE Td Permits are required in all cases by County Resolutions Noe. 45-133 and 47.235.
SET -BACK 'OM 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 lhgress
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Deportment 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 ar dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to . rce covenants or dedications.
1 "0,6
Ai a a
RAMINFre
Name of Owne
Architect
Contractor .O.QrynQ�'
Legal D.' ci•tlon of Prone
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APPLICANT FILL IN BELOW THIS L HE
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v / ddress Phone
Phone Engineer Phone
Address Phone
(GS- ,.fete OeseriD ion feed tax r;y DC e c.)
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DESCRIPTION OF W RK- New_ Addition Remodel Moving Bldg. ?gine _�.—Fire Zone
Sisegf Lot (O (0 (4Q Sewage System Stories I'>�>
Co enstons ('s /jC-VcQR g428.1 ZS Total Sq Ft. Valuation
(Fran 99n�cre e, bn/cl�%tc.] -,f--
Rooms l.I Bath/ t J cBasemee('iil Foundation Cons a�./�o Chimney F�ntate !'J
'' "" 7i -
(Full, pa none) (Kind)
Heat Syste 7] Type�/of Rooting Ext. Finish / /4/ Int. Wall Finish
Use of Bldgn�p�{-r?"-a er` tier Q No. of Units _Bed; ms
Garage or Carport Ahodl Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (I) 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 Licenee No.
Ind. Ins. Acct. No.
REQUIR
Plumbing Permit
m Heating Permit
Se
AA Sewage Permit
H
Plans Recelved
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
0
SOUTH
I hereby certify informatlpn submitted is correct and there are no other structures located on this property except
ar-reat-anr"---- 1...T-- 7 7
as shown. .
Owner or Agent I> Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
asued
Building Petro
e zoneC,1
Receipt f 4
asued Z,r <l7 2,..
Form 523 Bldg. Code
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