1970, 02-04 Permit App: I3398 Residence ...-..� ..�.. N..-.___ _ _ w_. .....
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 9920
APPLICATION FOR LAND USE OR STRUCTURE PERMIT O%
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 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.
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 99f..2 dg '
Name of Owner Address Phone ` 73 ',2-,)
-61',
Architect Phone Engineer Phone
Contractor Address Phone
Legal Description of Pr ert (Give comp to description from deed, tax receipt, etc.)
IL i h,eirry ,3 s mc(- /v/).
DESCRIPTION OF WORK:New £/ Addition Remodel Moving Bldg.Zone / Fire Zone -5j/
Size of Lot 1) 3 S Sewage System /t%' Stories Z
Const. Dimensions ,„) t7 Total Sq. Ft. /- Gu
_c., c Valuation a ---
(Frame,concrete,brick,etc.)
Rooms Baths Basement ,X' Fou..ation Const. i Chimney Fireplace
0
(Full, part, none) / �'moro-
(Kind) (Number)
Heat. System Type of Roofing LL Ext. Finish i—' Int. Wall Finish
Use of Bldg. 0—�'�/ No. of Units Bedrooms_ _``
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
/
• oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH Ste Lie e No.
-" Pyq/Ins. Acct. No.
/ t
' ItY ), r
REQUIRED
Nir
-- i Plumbing Permit
Irill 1 agp ti
m Heating Permit `+��
m vi
N es t Sewage Permit a/ c____®
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e Plans Receive.
Plans Checked
Plans Returned
W-
Plans Picked •
I. 0 O Plans Maile•
OUTH
I hereby ;� i. ' �rmati.n sun.' •d is correct and there are no other structures located o this operty
ty except
a shown. ' s J v
Owner or A:en Date
A LAND USE OR STRUCT _ PERMI FUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THI NOTA PERMIT.
-- 'IfO , �, r i r� OT WRITE BELOW THIS LINE
Your street address will be r. — .e zone is
0
Sewage Permit Number Issued Building Permit ;. 3 7J Receipt 7167 slued
Remarks U
Form 523 Bldg. Code