1972, 09-01 Permit App: J4273 Residence1
County of Spokrne, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERMIT 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 must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must 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 Nos. 45-133 and 47.235.
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 the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
performed in accordance with stakes. Points of ingress and egress must 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 buildings (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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner
Architect
Contractor
Lega Description of Property (Give
no
com
ddress ' --" Phone --r'_:41/°1 9/7.5-130
wir a1gineer, Phone
AddressPhone �C Ce�rr�lL
scription from dee tax re eip ,etc.)
n.
plete
401` 1 / 4 Ck. • j ''/ LE% i' �I, _ r' It- V.- - Co "z'�
D S /OF WORK: New Addition Remodel Moving Bldg. Zone • / Fire Zone
t %, < ( .--( .' _ _- ---- - Sewage System .. Storiesy_.0---">---.
:,� • ,�_ Dimensions -J ' x C' d (-c4/47,44...04 Total Sq. Ft �6 u 4 I V uatiorkI rir cg d-st-u
lr r�y co rete, brick, t ) -`� 1 ` r� S //:
Rooms Baths - = 3asemen Foundation Const 0=- -
e rt C16 �TQ-- ChimneFireplace
(Full, part, none) (Kind) (Number)
_ v pe of Roofing j -1,V-et-IL-Ext. Finish ......,..r.� - Int. Wall Finish L-2.-c-�-,
e_ � � + ,.. i.. _ >.. _ _...11W� No. of Units Bedrooms .-
Private Detatched � ----),i
RIPTIO
Heat. Syste
Use of Bldg.
e or Carport Attached
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (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.
m
SOUTH
ereby •rtify informat n submitted is co re and
as sh n.,4111,
.A LASE OR STRUCTURE PER
THIS- NO 'A PER IT.
Owner or Agent
Y�
J `I
�0
T :EO
NOT
there
State License No.
Ind. Ins. Acct. No.
REQUIRED �j [�
Plumbing Permit /26AE-4`�'�<Y
m Heating Permit ( 1
710
Sewage Permit
are no other
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
Date
THE PREMISES BEFORE CONSTRUCTION COMMENCES.
RITE BELOW THIS LINE
Your street address will be � =��� —�`4
,.�.:_> e zone is
Sewage Permit Number Issued uilding Perm(/� 2 jr Receipt 7 79 Issued
Remarks 1
4.1
Form 523 Bldg. Cod's
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