1972, 03-24 Permit App: J2277 Residence . County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT, , O o
GENERAL REQUIREMENTS PERMIT FEE..__60—
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. 45-133 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 PILL IN BELOW THIS LINE /
Name of Owner i. .� ddress �. -c..Z/ IC:. "pst:4,44.a2. °Phone &"I/�O 67/E'
Architect Pho' Engineer Phone
Contractor ,.._ .t_e Address Phone
Legal Description of Property (Give c.oplete description from deed4..ax receipt, tc.) �. - 5'413sign 7
9' ` // •
_•
DESCRIPTION OF WORK:New Addition Remodel Moving Bldg.Zone___1----Fire Zone
Size of Lot /040X Z CJ Sewage Systems► cam e Stories /� -�
Const. /LQ.yvut Dimensions 7 X (9 9 Total Sq.Ft. ...-9 it/ Valuation a29-Q`°�
(Frame,co crete,brick,etc.)
Rooms <) Baths�Basement? '�' "` Foundation Const. Chimn��i'Zg �Cireplace
(Full, part, none) (Kind) (Number)
Heat. System •_ Type of Roofing 54" Ext. Finish T//1 Int.Wall Finish
Use of Bldg. QA No. of Units
Ar
Bed ooms S
Garage or Carport Attached 0-207, ,1 Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location
offexisting
sand
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location
tem and water supply lines. State License No.
NORTH -"a3 -0� -/d,Sg-5 CJl�
JIB Ind. Ins. cct. No.
l REQUIRED
Plumbing Permit D
44,:dr/
in
i
rw Heating Permit 74-0A
IA 0. P2 1 Vio 1 Sewage Permit
S--i -) I �N' 'r % Plans Received
7s — t.; Plans Checked
/n Plans Returned
Plans Picked Up
I I Plans Mailed
Nik
S6UTH
/
I here, •ertif, informat'pia submitte' correct and there are no other structures located on this property except
as she , / 3 „_ - 7 .1-.
Owner or Agent Date
A LAN ' USE OR STRUCTURE P r . MIT MUST E ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE j /
r,
Your street address will be //6... / c � The zone i�"�� ���
Sewage Permit Number Issued A Building Permit`�' �Z Receip_tt°,r , Issued ' �
Remarks (4744..=...,_ ______0.7,1-� - f , -�--D
Form 523 Bido. Code