1971, 10-29 Permit App: J1157 ResidenceCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401 �p
APPLICATION FOR LANDS 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.
RATER. Nater 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 �i'Z
Name of Owner 55C'ddress
y f
phone,/
Architect
Phone Engineer
Phone
Contractor
Address
hone
Legal De cxiption o
Property (Give
complete description from deed, tax receipt, etc.)
DESCRIPTION OF WORK: New —Y—Addition Remo. del vMovinBld22 X -2,e Size of Lot Zone Fire Zone � S
1Sewage Syste Ston' s
rra
Dimensions ,��- Total S . Ft. `) Valuation
co crete, brick tc) Baths 1Usement Foundation Const. ,r1z,ey Fire lace —
ull,'art, none) %`/ % / (Kind) (Number)/T�
Heat. Syste ype of Roofing Ext. Finish ! " / / ! Int. Wall Finish C
Use of Bldg. --e -4e -c }
No. of Units Bedrooms
Garage or ' ttache %
�11 PLOT PLAN
0sions showing: (1) property lines; (2) street or road locations;
distance to property lines and streets; (5) dimensions of buildings;
V" DrW sketch with d
Proposed buildings; (4
tem and water supDk4 1
CA,
_1 n
Private Detatched
NORTH
0
SOUTH Y"
,
I her certify information sub itted is
as shown.
Owner or Ag t 'T(
,A LAND USE OR STRUCTURE P 1M��LJ�
THIS IS NOT A PERMIT.
DO P
Your street address will be3 ,a I/
Sewage Permit Number Issued
Remarks _ ,1 _
F- coo ole_
(3) location of existing and
(6) location of sewage sys-
StateLice *e No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit Y
on Heating Permit x
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no o0er structures located on this property except
;Y
E PREMISES BEFORE CONSTRUCTION COMMENCES.
BELOW THIS LINE
Building
The zone is
Receipt %lissued