1971, 07-15 Permit App J0191 Pool0
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 9!501
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ....... ..............._....
PERMIT REQUIRED. A land we 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 custom with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to Inspection.
here
ter
theEsurface. shoulders orly most bditchesved by the of Comity Roads, permissionandState ualth most he obtained fraaw theoCountyaEnglneeereet0f[lce�aturh.
SEWAGE SYSTEM. permits are required in all cases by County Resolutions Nm. 45.133and47635.
SETBACK 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 the structure abuts a State Highway, clearance must he obtained pertaining to set -back and ingress
and egress.
COUNTY ROADS. Work on street right-of-way my not be performed until staked by County Eased Department and work must be
performed in accordance with stakes. points of ingress and egress most beapproved by the County Engineer.
MOVING OP BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clearance most be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory building. (garages, sheds, etc.) require a separate permit.
and
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which
RESTRICTIVE
rumble throughrcivil action. Cld check ountysions of official°ovenants or can of bringa
ctionto enforcemcovenan running
dedicationwith the snd.
APPLICANT FILL IN BELOW THIS LINE
Name of Owuer44,45;
Architect
Contractor
Legal Description of
tax
DESCRIPTION OF WORK: Npw._ Addition —Remodel _Moving _ Bldg. Zo Ire Zone
Stan of Lot Sewage System to
ri
Ctem, �GMe mts Total Sq. Ft. Valuation 13/y)
(Fra/e concrete, MrIck, etc.)
Rosso, Bath, Basement_ Foundation Const Chi=eY FIrPPle
(Full, part, none) (Kind) (Number) (Number)
Heat. System Type of Roofing Eat. Flpish Int Wall Finish
Use of Bldg. fru �LF3( /C-- No. of Unita _Bedrooms
Garage or Carport Alteehed Private Detatehed
PLOT PLAN
Draw sketch with dimensions showing: (1) property linea; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property linea and streets; (5) dimensions of buildings; (S) location of sewage sys-
tem and water supply lines. N
w
N
H
N
NORTH
C1
State License e.
Ind. Ins. Acct. NO.
REQUIRED
Plumbing Permit
Heating Permit _
Sewage Permit _
Plans Received
Plans Checked
Plans Returned
Plans Picked U
Plans Mailed _
SOUTH
I herby ceify o it= sub gLttej is here are o0 other structures located on this property except
m shorn. l�
s`bWnef or Agent 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 �A� a sone
Sewage permit Nmaber Issued Building Permit g a LtJL Receipt.
Remarks yy„