1972, 07-26 Permit App: J3890 Residence, Renewal of I4830 . County of Spokane, Washington ......,..
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 9920
APPLICATION FOR LAND USE OR STRUCTURE PERMIT Or
GENERAL REQUIREMENTS PERMIT FEE /11
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an7
kind 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 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 dedic:tions.
r
ASP 1 A , PPLICANT FILL IN BELOW rT�HIS LINE _r /,- % -
�i �� �E � / 3 Phone ,,/ Z�S
Name of Owner r. /_' •ddress J �_
Architect w� Phone Engineer Phone
Contractor :. '"0"-y'----2--- Address Phone
Le Description of PropertAa Give com.lete de•cription from dee., tax receipt, etc.) '� 3 5- .3 3 — / 0 2
f_.....,
DESCRIPTION OF WORK:New Addition Remodel Moving Bldg.Zone __t----Fire Zone —
Size of Lot 7�, 1C �9 'fit" ( Sewage System
Stories 2
Const. '. /v V Dimensions � " ' Total Sq.Ft. / 7 `) Valuation �—
(Frame,concrete,brick,etc.) T
Rooms Baths Baseme /Foundation Const. ��r-/CZ Chimney Fireplace
(Full, part,`'one— (Kind) (Number)
Heat. System _ Type of Roofing Ext. Finish Int. Wall Finish
Use of B •• '• _ r , ri. / No. of Units Bedrooms
p
G. age or Ct -a rt A tae edA 1 Private Detatched
IV-j PLOT PLAN
Dra' 'etch it/ • mensions showing: ) property lines; (2) street or road locations; (3) location of existing and
proposed buildi :s; (4) distance to propert ••s and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water su.ply lines.
State License No.
NORTH
Ind. Ins. Acct. No.
REQUIRED `
Plumbing Fermilli�A
) t
iw Heating Permit
rt 1 '.44111111111a
y, ,M Sewage Permit
Al
Plans Received _
/ Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby c- ify inf.rma on subs d i-• corr-. and there are no other structures located on this property except
as • own. a 7
�. / /A,.'/. - -
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 LIHE
Your street address will be Grn� C1( )) 2-2 - I `4' The zone is
Sewage Permit Number Lssued Building Per, Receipt I ued _-----
ReearksNW _ _ I I r
Form S21 Rk4n Cndn