1971, 04-15 Permit App: I4039 MHCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99200/��
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ............................
PRRMIT 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 most conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply most be approved by the County and State Health Departments. Where work on water connections disturbs
the surface, shoulders or ditches of County Reads, permission must be obtained from the County Engineer's Office.
SSWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 44.235.
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 t he s truct ore abuts a State Highway, clearance must be obtained pertaining to set -back and Ingress
sad egress.
COUNTY ROADS. Work on street right -of -say may not be performed until staked by County Road Department and work must be
performed in accordance with stakes. Points of ingress and egress most be approved by the County Regineer.
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 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.
f APPLICANT FILL IN BELOW THIS LINE
Name of
v,
Arc hitecor
Phone FLgi----
Phone
Contractor ?ZT/�-
Address
Phone
Legul script n Pryps�ty (Give
/-Ay%iY
complete desert pt ion from deed,
tar receipt,
etc.)
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DESCRIPTIONOF WORK: New.
Addition —Remodel
Moving
Bldg. Zone Fire Zone
Size of Lot —
Con Dimensions
Sewage System
To[al Sq. Ft
Steri
Valuation ��QJ �
IFra co re e, rick, stay
Rooms�Baths Basement
� /'
Foundation Const. .—I Z—t�
�4
t �
Chimney Fireplace }n b l
(Full part none)
(Kind) (N mE bar)
I
Heat. System Type of Roofing Ext. Finish Int. Wall Finish
Use of Bldg. '�/4eg4 Q,w No. of Units_
Gemge or Carport Attached Privole Dewmhed
PLOT PLAN
Bedrooms 147—
1
Draw sketch with dimensions showing: (1) property lines; (2) street or read locations; (3) location of existing an]
Dpeed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage aYek
em and water supply lines.
N
r
NORTH
SOUTH
Smte Li .... e No.
Ind. Ia.. Acct. Na.
REQUIRE
D
Plumbing Permit 1L
Heatlng Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this,ryroperty except
as Siem. //,a a
I. Owner yr Agent v I _
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES
THIS IS NOTA PERMIT. - �•
DO NOT WRITE BELOW THIS
You street address will be % )` /- ) rV e�_L-i%
Sewage Permit Number Issued Building
Remarks
Torre 523 Bldg. Code
Date / /
BEFORE CONSTRUCTION COMMENCES.
LINE
zone
Issued