1972, 05-08 Permit App: J2972 MHhl
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT pp
GENERAL REQUIREMENTS PERMIT FEE_ /
PERMIT MQUIIED. A land use or structure permit is required by County Res o l utf on to erect a building or structure of way
kind or niter 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 Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Naa. 45-133 and 49.235.
SET -BACK FROM PROPERTY LINES. In most zones and untler 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 s State Highway, clearance must be obtained pertaining to set -back and ingress
.ad egress.
COUNTY ROAOS. Work on street right-of-wav may at 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 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 building. (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and end ements rum ing with the land
which are enforceable through civil action. County Officials can not bring action to enforce coven o[ dedicnt
i / APPLICANT FILL IN BELOW THIS LINE yo 1 n mnal.7 7
Name of Dwdgr__.C7 ddress Phone - I Y 1 ,
Architect Phone Engineer Phone
Contractor Address Phme
Leg. s i on of Props��ttyy�� (G� . complete€ tl sc r iov from deed, tax receipt, etc.)
I)ESCRIPTIOH 91e WORK: New_Addition Remodel Dtaving_ Bid. zone ire zone?
Size of of �`�V/•L S� 1/ Sewage Sys o e
Conww�=/l1�+!•ensions y t� Total Sq. Ft. Vatuat�
(Fe rete, brick, ste.1
Rooms Baths 2 Basement Foundation Const Chimney Fireplace
(Full, p I, none) (Kind) (Number)
Heat. Syste T e -of Roofing Ext. Finish let Wall Finish
Use of Bldg. � Z azi., y�� / / / / (Q (r(p �+�-�tt No. of Units Bedrooms
VanWc os (luno t Alta( bed Pv vnte oeoachcd — JJ
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) stre locations. (3) location of existing and
proposed buildings; (4) distance to property lines son streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water surly lines.
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N
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L`[-0ais
State License No.
Ino. Ins. Ant. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Place Picked Up
Plans Mailed
I hereby car y iar.,M ion Ahaitt d s correct and there are no other structures located on this property except
as show n. 9 /i t %/Epi.. - _ ,y
war or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Tow street address will be_
Sewage Permit Number
Remarks
F.— 523 We, Code
DO NOT WRITE BELOW THIS LINE
e zone Is
Building Perml Receipt QSj