1972, 03-15 Permit App: J2168 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUS2, 5^0!(ANE, WASHINGTON 94401
APPLICATION FOR. LAND USE OR ST UCTURE. PEP -MIT
GENERAL REQUIREMENTS PERMIT FEE. ......... :yg
PERMIT REQUIRED. A land use or structure permit is required by Ccunty Rvetnlutivn to erect a building or structure of &W w
kiyd or alter any building or structure already to
erected, or change a land use. Construction most conform with the
Spokane County Building Code and Zoning Ordinance. Construction is su"_:;cct. to iaspPctian,
w
WATER- Nater supply must be approved by the County and State Health acpxrto,?qts. Where ao;k on water connections disturbs
the surface, shoulders or ditches of County Roads, permissiou must bn obtained from thn County Mgineer's Office.
ftMAIESYSTEM. Permits are required in all cases by County Resolutions Ncs. 45- -7133 a-nd 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circuTztarces, a set -hack from the front property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a /,5' 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 he approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing buildiaa. When a building; is moved on a County or State
Highway, clearance must he obtained from the County Engineer and/or state Bighway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require s soparate 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 cam_ not bring action to enforce covenants or dedications.
APPLICANT FILL IFS BELOWTHISLINEName
r7 17
of Owner_- �i� !S EF{/ L� Address
Architect Phone Engineer _ Phone
Contractor Address _ Phone
45,E __
Legal Description of Property (Give complete description from deed, tv.x receipt, etc.)
DESCRIPTION OF WORK: New_ Addition Remodel ]Moving _ � Bldg. Zone � Fire Zone �
Size of Lot ---.—Sewage System / C Stories - —
Const. f!A/Yl P Dimensions Sq X Zs Total Sq. Ft. a Valuation --� � C/ U
( Frame, concrete, brick, etc.) ���
Rooms Baths _ - Basement � Foundation Const. � r`� C- Chimney .G_>1-_ Fireplace Z7
/- (Full, part, none) (Kind) (Number)
Heat. System r- Lid• d_AE_Type of Roofing Ext. Finish �'��. �L�— Int. Wall Finish u✓z( 9,
Use of Bldg. <� �?e �
.,—. -- No. of Units Bedrooms
Garage or Ctnjport [attached
Privnte Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or rmad 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.
rn
NORTH
/177-
SOUTH
1TT
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Ree Beating Permit
P. Sewage Permit
y
flans Received
Plans Checked
.clans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent Date
`t.Ip ND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES EREFOP! CONSTRUCTION COMMENCES:-�
TH�►IS NOT A PERMIT.
_0 DO NOT WRITE BELOW TI'1IS IE'ift
Your street address will be T' zone
Sewage Hermit Number Issued Ruildi,.R Perm zone
issued
Rett yks - $�
Form 523 Bldg. Code
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UNOER