1972, 04-26 Permit App: J2738 ResidenceU
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County of Spokane, Washing,,@
BUILDIMG CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLOCATION FOR LAND USE OR STRUCTURE PERMIT
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
Name of Owner zw/r V—Address P Phone
Architect Phone Engineer Phone
Contractor ��� alpp X_�ress hone
Legal Description of Prwt�l/Pive complety,des jiytion from deed, tAxyr ipt, etc.)
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zon Fire Zone
Size of Lot �� ���7 ,Z�—,�/lJ Sewage System` C Stories Z
Const .)-L"e Dimensions 6� �/� 21oX 2__Z Total Sq. Ft. ,ZZcQ.2 Valuation �i� �Lrl y
(Frame, concrete, brick, etc.)
Rooms P Baths 2— Basement ` Foundation Const. cz�!� 0-Lj Chimney Fireplace
( ull, part, none) (Kind) (Number)
Heat. System Tyne of Rfihfinqg?� r/� Ext. Finish Int. Wall Finish .4
Use of Bldg. l No. of Units Bedrooms
Garage or Carport Attached 22 Private Detatched
1�1 PLOT PLAN
f0 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.
e+v
NORTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit Z~
m Heating Permit
a
N Sewage Permit c�
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby cert information/subm*ttd is correct and there are no other structures located on this property except
as shown.,, , ` %
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
�IA42 madeL Z DO NOT WRITE BELOW THIS LINE
Your street address will be /Z neThe zone is
Sewage Permit Numb e Issued Building Permit — Receipt 1 Issued^2 ?�
Remarks�'d6 �� , .¢���,�' 1 I 1 t%
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Form 523 Bldg. Code