1971, 02-10 Permit App: I3435 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT f
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
Architect
Contractor '
Legal Description of Property
r1sd;1g/ Address Qep_
Phone Engineer
Address
ive complete description from deed
tax receipt, etc,)
Phon,WA-fKA07
Phone
Phone
DESCRIPTION OF WORK: NewAddition Remodel Moving Bldg. one Fire Zone -
Size of Lot 74' X /-3 0' _ Sewage System Stories
i
Const.�YaY" t Dimensions 44 ii 43 s"�J& 4Ne.4. Total 6iA. 71 TSV
(Frame, concrete, brick, etc.) 61 97
Rooms .f Baths �y Basement EU 11 Foundation Const. Como IL 1"Q �� Chimney 1' 1Fireplace Z
(Full, part, none) (Kind) (Number)
Heat. System 1 ype of Roofing o c Ext. Finish S) Int. Wall Finish �htd MCC k
Use of Bldg. t% / de r 4.'C No. of Units Bedrooms
Garage or Carport Attached A Cay ff-rat1f a aClicd 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.
NORTH
7S
f4
�3
10
° Gara9c
SOUTH
State License No.
�a3-c/-i//. -7
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
I" Heating Permit
Sewage Permit
•-1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify informat�pa,suby'tted is correct and there are no other structures located on this property except
as shown. / 1 / �/ /JLn r�
q
ner or Agent r Date
A LAND USE O STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street addr ss will be ���� // �j . (,L Ll� The zone is 1
Sewage Permit Nu4ber Issued Building Permit L RFc-eipt � ssued
Remarks0