1975, 03-21 Permit App: J2234 Residence • County of Spokane, Washington z 7 5/ 3 -Oz ! s-.-
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT? o ‘'
GENERAL REQUIREMENTS PERMIT FE61V
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.
WATER. 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
Name of Owner{e t i,..r (' -.4 Ct Address Phare - vroi
Architect Phone Engineer Phone
Contractor Address Phone
Legal DescriptionofProperty (Give complete description from deed, tax receipt, et .) J
(3i6c -/J. Co C? f /3 /7.414-.TC„47F” 2- _k� Ad- 7 5 3 -a36
DESCRIPTION OF WORK:New ✓ Addition Remodel Moving Bldg.Zone ,/ Fire Zone.,�—
Size of Lot /00 / i_2_ ,,‹ Sewage System r
CO i C: Stories
Const. Dimensions t0 y A/ 26 Total Sq. Ft. 1 7 3 S Valuation .Z? Oil 0
(Frame,concrete,brick,etc.) /1
Rooms 4.> Baths_...2.-._Basement / Foundation Const. e- 3ne.re tri Chimney 13rl GI<p ireplace &.
(Full, part, none) // C' (Kind) (Number)
•
Heat. System4.
I/ fjA Type of Roofing L.:,0"hp• Ext. Finish vV&.. 1 SA melt. Wall Finish Cyel K j beta 1
U of Bldg. /€ 7_.,..-_.../ r . ��
No. of Units � Bedrooms_ —
age or Carport Attache 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)c.
location of sewage sys-
tem and water supply lines. ate Li a No.
NORTH
Ind. s. ct. No.
NV
OL
REQUIRED
Plumbing Permit Ayg4 ..' au
m rw Heating PermitA11000119,7
/
to D Sewage Permit I. •�'J•.�=
..i � se
l/
Plans Received 10-- ,'\
Plans Checked .....ma..=
Plans Returned
Plans Picked 4p
Plans Mailed
SOUTH
wI hereby certify information submitted is correct and there are no other structures1 ated on this property except
as shown., ..t1 .77,1a,N.A...ti-L ISS /
/2 " --
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
l ) 11 # .: DO NOT WRITE BELOW THIS LINE
Your street address will be e'er i �
/ - The zone is
Sewage Permit Number _ Issued Building Per a_/ Receipt —_/slued
Remarks
s
Farm 523 Bldg. Code
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