1972, 05-15 Permit App: J3015 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE..:___ a __,,l____. e-- .......
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.
nd
ents
ng
the land
which lareVenforce ble throughrciviluld check action. Countysions officialsocanants or not bringdactionntoaenforcemcovenantslor dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner _J
Architect_� — Phon
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Contractor 5 A 145- 04,�
Lega,l Description of Property (Give comp
taMCS t C� e t� Address 3 1 p Sou 7�. Ph one r riF1 3�
�% M En ineer Phone
g
Address 3 is+C
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F 7 3
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot I X a. 13 � Sewage System C� -T Stories
Const. ;«-�- °� Dimensions �6 Total Sq. Ft. 4 C1 Valuation
(Frame, concrete, brick, etc.) ,yt—
RoomsBaths _ Basement/ Foundation Const. C d n C e T � Chimney Fireplace
pp(Full, part, none) (Kind) (Num er)
Heat. System(�!//JJ �e�Cs� Type of Roofing o xt. Finish - Int. Wall Finis
Use of Bldg. No. of Units Bedrooms 4
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.
S t License No
(A
NORTH
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SOUTH
to e
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
M Heating Permit
t/f
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I herebcertify information submitted is correct and there are no other structures located on this property except
as show/�
Owner or Agent UV uazue
A LAND US• R STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
L) -211,2 DO NOT WRITE BELOW THIS LINE
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Your street address will be ;� / F3F t ! `i/J� ' The zone is
Sewage Permit Number Issued Building Perm Receipt Issued
Remarks '
Foran 523 Bldg. Code
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