1971, 08-02 Permit App: J0222 ResidenceCounty of Spokane,' Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT py
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GENERAL REQUIREMENTS PERMIT FEE ..... 32 -
PERMIT MQUIREO. A land use or structure permit is required by County Resolution to erect a building or structure of any
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lost or alter any building or structure already erected, or to change a land use. Construction most conform with the
Spokane County Building Code and Zoning Ordinaoce. Coastruction is subject t. inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where work on water convections disturbs
the surface, shoulders or ditches of County Bonds, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions New. 45-133 and 47235.
SET -BACK FROM PROPERTY LINES. In most zones aatl under most circumstances, a set -back from the front property line, of at
least 25' is required. a 5' aide 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
aatl egress.
COUNTY BOMB. Work .n street right -of -say may not be performed until staked by County Road Department and work must be
performed in accordance with stakes. Points of ingress and egress meat 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 7 dd q�6a3
Architect ��nn ""��' Phone Flag ineer Phone
Contractorldaf� Address Phone
Legal Desfip�ion of Prop (Give comylets description from deed, tax r ceipt. etc.)
DESCRIP OF WORK: New 4 Addition _ Remade) Moving Btdg, Zone Fire Zone
Size of Lo % Sewage System Stories
Const �+��- D' r "�Xa26 J Total Sq.F. aluation oz sap
(Fra cconcrete, brick, etc.)
RoomsBaths _Basemen[ neFoundation Const -- � � Chindsmo _47" Fireplace
(Full, perk o) (Kind) ���... (Number)
Heat. BystetgF'jf t�Type of Roofing Ext. Finish T /-A" Int. Wall Finish�a�6 (
Use of Bldg. —ell, 1. No. of Units/Beedd'rooms _
Onruge or C,ri duoched et Prbme Detatched
PLOT PLAN
Draw sketch with dimensions shooing: (1) property lines; (2) street or read 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 subtly lines.
S ince License No.
Ind. Iv. Acca. No.
SOUTH
REQUI
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received _
Plans Checked _
Plans Returned.
Plans Picked Up
Plans Mailed —
I hereby certify information submitted 1s correct and there are no other structures located on this property except
as
Owner or A edt r y 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
Your street address will be a zone Is
Sewage Permit Number Issued Building Per.ft,�j' Receipt Issued
Remarks
form 523 Bldg. Code ' 2
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