1972, 07-07 Permit App: J3749 Residence • County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE Y
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 mut ,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 Engi'Si'eF 'Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET-BACK PROM 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 renuired.
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 enf• e covenants or dedications.
—1111.1r./' APP ANT FILL IN BELOW THI LIQ, ��i_, ;,�. 0,..47 7Name of Owner. liie #- /. 7Qi'1' i ' ,-.ress �.So20 ��
�� Phone ,.,(„N V— /S 3
Architect .- Phone A. gineer _ , Phone
Contractor Address Phone
Legal Description of Property ve complete descr'pti from de-d, tax recipt, or
_•tc.) Air �'S-'
x �.
DESCRIPTION OF WORK:New Addition Remodel Moving Bld; Zo e Fire Zone
Size of Lot 9.c v 97 f_i Sewage Syst-+..=ee' /T - i.... /Stories 1
Const. Dimensions • - .Total Sq. Ft. • Valuati01 � / of-')
(Frame,co trete,brick,etc.)
Rooms (s Bath _______.Base + Foundation Const Chimney Fireplace r-- „,
(Full, part one) (Kind) (Number)
Heat. System Pet-...._ Type of Roofing Ext. Finish Int. Wall Finish
Use of Bldg. ... , i i — I No. of Units Bedrooms(J
Garage = - ._ Attached _f/ 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. State License No.
NORTH
1 a �2 3 —s /<3dl S
Ind. Ins. Acct. o
0 (C\
'47 REQUI� ' /
f
' 1\ Plumbing Pe -4--e-= - '' .'
et&(jam Heating Permit r . 2
inm ( D Sewage Permit
-4
Plans Received
\ Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOCIC1H
I he eby certify ' ormation submitted is correct and there are no other structures located on this property xcept
as shown. }
Owner or Agent Date fi-2-4-'--------
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE ,�
Your street address will be ,.r..-- -_ ,;�f .e zone is
--(=s --/Ai s
4 Sewage Perm. t Number Issued Building -Permit;374/9 Receipt Issued
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Remarks i . 9 _,/ .,� _ '_'r7I ° / '— -,
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Il Form 523 Bldg. Code
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