1971, 06-03 Permit App: I4599 AdditionBUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON "209
APPLICATION USE OR STRUCTUREPERMIT
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 mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Plater 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
r
Name of Owner
Address %_ U Phoneme`''`
Architect _ Phone Engineer Phone
r .•
Contractor °°" Address Phone
„ad al r .rption ofPrrpy Give
complete
i description from deed, Gtax
receipt, �te'tc.) ert
te 4"
DESCRIPTION
._.• L
OF WORK: New Addition ._ Remodel Moving Bldg. Zone f Fire Zone
Size of Lot ts: Sewage System St
o s
Const. Dimensions Total Sq. Ft. Valuatio ,� 0 0
(Framecrete, brick, etc.)
Rooms Baths Basement Foundation Const. * Chimney Fireplace � -
(Full, part, none) (Kind) (Number)
Heat. System Z42'"' ,Type of Roofing Ext. Finish Int. Wali Finish
Use of Bldg. ' No. of Units Bed oms
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. YTZ�
II� Lttf/j ''F State Licen e No.
NORTH
Ind. Ins. Acct. No.
401>
S __ _ .._
SOU TH V
Plumbing Permit
m Heating Permit
HSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Pians Mailed
I herzeW certify 'nlformat')n bmitt d'i ct and there are no other structures located on this pro rty except
as shown. 1 f�;
"-"""--Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTIO COMMENCES.
THIS IS NOT A PERMIT.
DO NOT
WRITE BELOW THIS LINE
Your street address will be ' C - The zone is �--es
Sewage Permit Number
Remarks
Form 523 Bldg. Code
Issued
Building Permit
Receipt 2:3.'r Issued