1971, 04-06 Permit App: I3912 Residence•
•
County of Spokane, Washington
14
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 9940
APPLICATION 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.
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 BELOW42 HIS LINE �l yv7 C/p
Name of Owner ���' ddress , Phone
Architect Phone Engineer Phone
Contract o /�.2 Address _ _ /7 Phone_ _ l
Legal LDesc9iption�of Property (Give
complete description from deed, tax fiece}pt, etc.)�1
DESCRIPTIO O�F1 WORK: New Additi n., 3
Remodel Moving Bldg. Zone Fire Zone
Size of Lot F_/ U r x p
G
l�
System Stories
_Sewage
Const- Dimensions otal Sq. Ft. Valuation
(Frame ncrete, brick, etc.) -
Rooms Bath Basement Foundation
Const.—- t Chimney F' laces
Full, part, none)
Heat. System Type of Roofing
(Kind) (Number)��
Ext. Finish Int. Wall Finish
Use of Bldg.a
I No. of Units Bedrooms
Garage or Carport Attache
Privat etatched
PLOT PLAN
Draw sketch with dimensions showing: (1)
property lines; (2) street or road 1
ations; (3) location of existing and
Iroposed buildings; (4) distance to property
lines and streets; (5) dimensions of b
ildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
)
Jots License No. L
T,,.;. Tn d....r
N
REQUIRED
Plumbing Permi
M Heating Permit
Sewage Permit
Plans Receive
Plans Checke
�? Plans Return
Plans Picked
t Plans Mailed
Cn
SOUTH
I h reby certify information submitted is correct and there are no other structures locat
own
ed.o)a this, -property except
N 1"�'JOwner or Agent Date c (, / /-/
A LAND USE 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 13
(% c-1 �J 9— �slx The zone is
sewage Permit Number Issued Building Permit i, _�/ Receipt J?,4'Issued
Remarks
Form 523 Bldg. Code