1972, 03-20 Permit App: J2243 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99401 G
APPLICATION FOR LANE! USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ............................
PLRMIT 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 dlstur$s
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
.WAGE 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 car not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner_ A J Construction G=PaD7 Address E, 3731 Liberty Phone Hr , 7_1.8-33
Architect _ Phone Engineer ` _ Phone
Contractor Same Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc,) No laare8l number
27-25-44 Hillcrest Acres 4th Addition
DESCRIPTION OF WORK: New _x Addition Remodel Moving Bldg, Zone 7 Fire Zone _3_
Size of Lot 1)- ,;- X if --3 Sewage System ReutiC T 6tLk_ Stories 1-112—
Const. Frame Dimensions �,` 7 2 2` y �� — a� X312 Total Sq. Ft. Valuation $27,,0W —
(Frame, concrete, brick, etc.) 5 z;' 22
Rooms Baths '� _ Basement full Foundation Const. concrete _ Chimney — Fireplace
(Full, part, none) (Kind) (Number)
Heat. System FA GAS Type of Roofing comp Ext. Finish t'-1� Int. Wall Finish n
Use of Bldg. Residence, rags attached No. of Units Bedrooms
Gnnige 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.
NORTH
See ,Attached
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
n+ Heating Permit
D Sewage Permit
�n
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submittV is correct and there are no other structures located on this property except
as shown.
Owner or Agent Date
A LA SE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. =— -
DO NOT WRITE BELOW THIS LIME
Your street address will De _.exbe zone is R--1 Single Family
Sewage Permit Number Issued Building Permit Receipt Issued
Remarks —
Entered on _IDS
Form 523 Bldg. Code
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