1972, 02-17 Permit App: J1893 Addition County of Spokane' Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMI
GENERAL REQUIREMENTS PERMIT FEE.._. .7
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. There 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 i 'w��--- ddress / 0 a S // / Phone isl c_ 6
Architect��j /Phone Engineer Php'e
Contract or��c-o--/� "--- ress / .0 _.••!. .. - - '''r" • (..Ya-- 71/-2--w
1
Legal O es pti of Prgprt�(Give completes der tion from deed qz receipt, etc.) .4109,00"2 .�y / 5' �� oG � _
DESCRIPTION OF WORK:New Addition ki Remodel Moving Bld•.Zone / Fire Zone
Size of Lot /0 0 X /S O Sewage System // _ - --- tori
dr
C.• Dimensions 1 - � /y Total Sq.Ft. /��_ / aluation f/.�-,
•
„•. oncrBath rick,etc.)ase,�t Foundation Const.
Chimney Fire.lace
11,CJ, none) // (Kind) ` (Number) /y
Heat. System
‘&11,
Type of Roofing �1 Ext. Finish/ `1 // Int.Wall Finish .%
Use of Bldg. �/ ! No. of Units Bed,ms
Garage or Carport Attached Private Detatched
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.
lNORTH State Licens No.
TInd. Ins. Acct. No.
ly'`/*
V REQUIRED
Permit
1� HPlumbing eating Permit
en p
in
Sewage Permit
Plans Received
1 Plans Checked
Plans Returned
a S� Plans Picked Up
4 Plans Mailed
/$ 21. /7
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. ... /...2 .7 -"Z---
Owner or Agent 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 LIME
Your street address w111 be 31 / 6 4 os---- J/ -- The zone is'�'. 1...,t44.
Sewage Permit Number Issued Building Permit �� Receipt +r.!..sued ---__
Remarks
fo.,,, Sea al.-1.. r,..d.