1971, 11-11 Permit App: J1342 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LANA! 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 aW
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 FILL IFI BELOW THIS LINE
Name of Owner Vv("
Architect
Contractor
Legal Description of
rty (Give comp
DESCRIPTION OF WORK' New _AP"_ Addition
Size of Lot
Const. Dimensions
(Frame, concrete, brick, etc.)
Rooms Baths_ Basem o
(Full, part ne)
Heat. System Typ of Roo
Use of Bldg.
Garage or Caipori ched.
dese/ipti
ress
e Q-. Phone
ineer Phone
sivti� -- — Phone
V 1
from dee , t.eceipt, etc )
_ A �
Remodel Movin Bl Zone �1---- Fire Zone
e yWON ftjb _;
torie
Total Sq. Ft. Vald4(tion
Const. C$imney Fir place
( ( ind) (Number)
Z-V. -t. Finis Int. Wall Finish
�T , 4 e dy No. of Units + Beoms
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 uildings; (6) location of sewage sys-
tem and water supply lines. state License No.
NORTH t
JwM ■ C/ v
Ind. Ins. Acct. No.
I hereb certifyi ormati n submitted is correct and there are no other structures located on this property except
as shown. p �_ , 11-11-71
Owner of Ageirt Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NnT WRITE BELOW THIS LINE
Your street address will be _ e zone i �/
sewage Permit Number Issued Building Permit ZReceip Issued
Remarks
REQ IRED
r
Plumbing Permit
w�
Heating Permit
Sewage Permit
�n
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereb certifyi ormati n submitted is correct and there are no other structures located on this property except
as shown. p �_ , 11-11-71
Owner of Ageirt Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NnT WRITE BELOW THIS LINE
Your street address will be _ e zone i �/
sewage Permit Number Issued Building Permit ZReceip Issued
Remarks