1971, 05-21 Permit App: I4493 MH0 /o
Counfy of Spokane,- Washingfon
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMITO� U
GENERAL REQUIREMENTS PERMIT FEE -------- 1.. _._........
PEAR IT REQUIRED. A land use or at rue tore my. it is req-ired by County Ms. lot ion to erect a buf ld ins or structure of any
kind or alter any building or struct are already erected, or to change a land use. Construction most conform with the
Spokane County Building Code and Zoning Ordi... ce. Construction is subject to Inspection.
WATER. Water supply most be approved by the County adState 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 Now. 45133 and 44235.
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. Rhe re the structure abut.. State Highway, clearance must be able fined pertaining to met -back and ingress
and egress.
COUNTY ROADS. Work on street right-of-way any not be performed until staked by County Road Department antl work must be
Performed in accordance with stakes. Points of ingress and egress most 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, cle.ra.ce must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory building. (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.
Name of
APPLICANT FILL IN BELOW THIS LINE
Phone Rogineer Phone
Contractor Andress nmu
Legal Description of Property(Give complete tle cr lDtiov from ee Lax receipt, etc.)
D 'RIPTION OF WORK: New I Addition Remodel _Moving Bldg. Zone Fire Zone 3
of Lot R O I a i Sewage Systcsc T� Stories
.wast Dimensions � O x h Total Sq. FL valuation
rams, concrete, brick, etc.)
Rooms-4oLBaths I Basement Foundation Const. Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System �t Type of Ro frog Ext Finish Int. Wall Finish
Use of Bldg /--('t,—�l-� aJ �" -' No. of Units Bedrooms
D
Cen,ge or Carport Auuobed Pri nuts Urintched
PLOT PLAN
Poem 523 Bldg. Code
Draw sketch with dimensions whoa its: (1) property lines; (2) street
or rostl locatl ons; (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 License Na.
NORTH
Ind. In.. Acct. No.
1
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Jlp
REQUIRED
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Plumbing Permit
Heating Permit
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to
' Sewage Permit
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Plans Received
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Plans Checked
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Plans Returned
Flats Picked Up
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Plans Mailed
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sac
SOU A
I hereby certify inf.,-P"6su allied is correct ayd there are no
other structures located on this property except
as shown.
/ Omer or Agent Data
A LAND USE OR STRUCTURE PERMff M T BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be l-/ ,' 5- 8�„�-__,A The rove is
Sewage Permit Number Issued Building Permit Receipt r,10 Issued
Remarks
Poem 523 Bldg. Code