1971, 07-09 Permit App: J0002 ResidenceP
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT00
GENERAL REQUIREMENTS PERMIT FEE ..13 J---.._.....
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 I
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.
/7 APPLICANT FILL IN BELOW THIS LINE
Name of Owner J' `
Architect . LN .Q s,0 41
Contractor f4,-7 E'
Legal Description„of Property
ress
r
Address
complete descript�i9n,from deed, tax rec4pt, etc.)
Phone ZdF
Phone -.•N'
Phone
DESCRIPTION OF WORK: New Additipn Remodel Moving Bid . Zone_ Fire Zone
Size of Loi �� "���X / �r . %L — �{ rd. -r!7i-Sewage System�'tories 0
Const. ;PiA/�9C Dimensions-�_( A--�� e�r -OF Total Sq. Ft. Valuation v
(Frame co Crete, brick, etc.)
Rooms Baths iZ Basement j4e,14 Foundation Const. Aole 'Ove re ChimneyAe&".�% Vlreplace A
(Full, part, none) /% . (Kind) (Number)
Heat. System Iq Type of Roofing c -o/ 'Bo Sifl4Ext. Finish Int. Wall Finish Arym-g."i
Use of Bldg. _ C 31 .6 eA-c r- No. of Units / Bedrooms .3
Garage or Carport Attached &/Aar/tJe!A— 7- 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
NORTH
SC C e4 r-, .7-4 e"'f/eA / Tavr ev/V"
UT
State License No.
12 3 - D/ - OTS
Ind. Ins. Acct. No.
�AI7 c,110
REQUIRED
Plumbing Permit,6Alee�seA,'
ll�SIV
m Heating Permit /7rH * o W� i
D Sewage Permit 4V,4.✓ Z Gk
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby cer y inf tiWsubmi4eff is correct and there are no other structures located on this property except
as shown.
ner or Agent Date 71
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
i
Your street address will be / The zone is
Sewage Permit Number Issued Building Permit„.Receipt S"S Issued
Remarks
Form 523 Bldg. Code
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Spokane County Health Dist.
F.H.A. APPROVAL ONU
SPO. CO. H .AURi DIST.
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