1972, 03-20 Permit App: J2236 Residence 0
0(7
• County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201 ik( n
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 mast 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. 45-233 and 47.235. i
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 R
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.
Rents
whichlarevenforcce enforceable throughrs civiluld check action. Countysions Officialsf ocanants or not bringdactionns toand enforcemcovenantsing or dedithe land
cations.
APPLICANT FILL III BELOW THIS LINE
Name of Owner A & J Construction Company Address E. 3731 Liberty PhoneHu 744831
Architect Phone Engineer Phone
Contractor Same Address Phone
Legal Description of Property (Give complete description om deed, tax receipt, tc.) No Parcel Number
27-25-44c7
Hillcrest Acres 4th Addition 1/
DESCRIPTION OF WORK:New X Addition Remodel Moving Bldg.Zone 1 Fire Zone 3
Size of Lot / 0- 5— , .__ r4 Sewage System Septic tank Stories 1
Const.rj-c-re- --Dimensions 3 x a " -C Y '9-y Total Sq.Ft. 1 �—Valuation $27,000
(Frame,concrete,brick,etc.) 2
Rooms 6 Baths 2 Basement full Foundation Const. concrete _Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System Gas FA Type of Roofing Comp Ext. Finish T-111 Int. Wall Finish DrYwall
Use of Bldg. Besidwine, garage attached No. of Units. Bedrooms
Garage or Carport Attached 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.
State License No.
NORTH
Ind. Ins. Acct. No.
See attached
REQUIRED
Plumbing Permit
my Heating Permit
m
ut ,M Sewage Permit
1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. _ '
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
A! -14,,11 j DO NOT WRITE BELOW THIS LItIIE
Your street address will be L1
0 d - '/ ��-Q---t-- Q ,e zone is R-1 Si ng A Family
Issued
Sewage Permit Number Issued Building Per Receipt ,n`
Remarks __ Vu
Entered on Map
Form 523 Bldg. Code
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