1972, 05-08 Permit App: J2912 ResidenceCounty, of -Spokanev Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ��-
GENERAL REQUIREMENTS
PERMIT REQUIRED. Aland use or structure PERMIT FEE________________________
kind or alter any building or structure alreadyserected, or touchangety sallandnuse.to erConstruction ect a nmust conform rwith the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. 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 9 -2O
Name of Own ddress
Architect Phonegineer
Contractor Address
Legal Descrit'onProperty (Give complete description from deed, tax receipt, etc.)
Phone
DESCRIPTION OF WORK: New
Addition Remodel Moving Bid Zon
Size of Lot �� d / 3 Q Fire Zone
Sewage S) St ories _�
Dimensions Total S Ft.
r(ram concrete, brick etc.) Q Valuation 52s Baths ement Found ' n Const. C o Q J��
Heat.
Use of Bldg.
Garage or Carport Attached
part, none) ChimneyT—FirAace
(Kind) (Number)
?vpe of Roofing-'-1AExt. FinishA�9_ Int. Wall Finish
No. of Units Be oms
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.
N
(A
I he
as shown.
NORTH
/T
Y
2
,4Z Z
A LAND USE OR STRUT
THIS IS NOT A PERMIT.
ill,
SOUTHS_
State Licen No
��
EInd. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
a
V1 Sewage Permit
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ubmitted is correct and there are no other structures located on t5his thisproper y except
E PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
Your street address will be /0 1'7
Sewage Permit Number Issued
Remarks _&;�- �'- - Z-,
Form 523 Bldg. Code
DO NOT WRITE BELOW THIS LINE
Building Permit
The zone is
Receipt 9512AUed