1971, 11-18 Permit App: J1365 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT (7j1i
GENERAL REQUIREMENTS PERMIT FEE... a:----.
POR IT REQUIRED. A land "e ar structure permit is required by County Resolution to erect a building or structure of wk led or alter any building or structure already erected, or to change a land use. Co"oa
truetim out conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to Ina"Ctim.
WATER. water supply meet be approved by the County and State Health pe"rteeats. where work onwater namectioas disturbs
the surface, shoulders or ditches of County Rands, permission meat be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Now. 45-133 am14T.235. of at
SET-MCE PROR PROPERTY LINES. in most zones and under most circumstances, a setback frm the front property line,
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 be obtained pertaining to set -back and ingress
and egress.
COUNTY ROADS. Work an street right-of-way, say not be performed until staked by County Road Department and work mue�..be
aerformed in accordance with stakes. Points of ingress and egress sunt 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 am/or State Highway Department.
1CCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a se"rate permit. with the land
RESTRICTIVE COVERANTS. Builders should aback provisions of covenants or dedications and easements running
whicb are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS UNE _
Name of owners'/ ✓ duress - �'--- --
Architect T� ne Fuginee�_ Phone
Contractor Address 1
Legal Description of PCopGrty (Give couple e e criDhm from defd, tax receAtDh etc.)
DESCRIPTION OF WORK: New Addition _ Remodel Moving _ Bld Zone ' ' Fore Zone /
Size ut 1,QJI - Sewage SYstem .Stories
Const. rL4a.. �— Dimerelons Total Sq. Ft eluetion s�t.f_Wrtt-
(Frame,c ncrete, brick, etc.) � ��//JJ 0
Rooms Baths Basement j_aAbKFoundation Const. ey -(Kind) Fireplace U -b
vvv (Full, part, none) sn� �//1, (Kind) (Numbs
Heat. System Types=t Rmfigg ` Ext Finish -.* Tl-01fUnI,.Bnr
. Wali FiNah
Use of Bldg. ms
Garage or Carport Attached Private Detetehed
PLOT PLAN
Draw sketch with dimensions showing: (D property lines; (2) street or road lmou
atis; (3) 'mail
on 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 No.
NORTH
Ivd. Ins. Acat. No.
REQUIRED
Plumbing Penult
se Beating Penult
�
M Sewage Permit
ti
Pleas Received
Plans Checked
Plans Returns
pians Picked Up
Elam Mailed
SOUTH
I hereMertify lifdrmtion submitted is correct and there are no other structures located m this property except
as shown. ``Ai .n .. I I I
Omer or;gent r Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. --�
DO NOT WRITE BELOW THIS LINE
iIJiwzl�L/'zone
moi/
ire
F: E -f SMCURITIES 0
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