1971, 09-13 Permit App: J0652 ResidenceA
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT erv_..2_
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an/
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.
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.
t STATE HIGHWAYS. Were 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 en 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.
SS., -406
�t _�o,J APPLICANT�FILL IN BELOW THIS LINE
Name of Owne��� /J--uCelr. Address a �e7 SMO ,/s� Phone 4/a— T — 9 Yo•C3
ArchitectPhonePhone Pngineer Phone
Contractor Address Phone
Leg 1 Description of Pr,.erty (Gi`
4r/�r %/nilltaenn
e deecrip
DESCRIPTION OF WORK • New
Size of Lot
Addition
deed, tax
Remodel __Moving Bldg. Zone / Fire Zone
Sewage System Stories
Total Sq Ft /D 90 Valuation /rdcO
Chimney Fire ace
Heat. System ,1L par one) (Kind) (Number)
/Type of Roofing Ext. Finish 771 /--- /1 Int. Wall Finish
Use of Bldg. No. of Units Bed s 3
Const,717. Dimensions
(Frame, ci_nerete, brick etc.)
Room Baths / Basemen
oundatlon Const.
Garage or Carport Attached
PLOT PLAN
Pri ate Detatched
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.
140
NORTH
I hereby cer
as shown.
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
1.1 Heating Permit
]w Sewage Permit
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
r
on submitted Is correct and there are no other structures located on
ner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST RE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
F' THIS IS NOT A PERMIT.
Your Street address w111 be
Sewage Permit Number Issued
Remarks - W'
his property except
DO NOT WRITE BELOW THIS LINE
Building Permit zone
is
ss ued
Form 523 Bldg. Code
0.
Beoklund &:Wollin
Builders
WA b-14343 WA /4-07114
Legal
W. ij0'of Lot 9 and E. 25'
Lot `_10,: Bik. 6, Woodlawn
Park Addn.
FH A. APPROVAL ONLY
SPO:` CO. HEALTH O(ST,
_9rJ
,1 _77