1972, 04-07 Permit App: J2527 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 9940
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GGENERAL 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.
NATER. 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 9ngineer'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 ddreas 3 Phone4 %z Z
Architect— Phone Engineer Phone
Contractor Address ,L Phone
Legal Desc iption Property (Give p ete description from deed, tax receipt, etc.) �`� `�`3 J149
DESCRIPTION OF WORK: New ' ` Addition Remodel Moving Bl�ies
/e Zone
Size of Lot Sewage System
rDimensions 15-1 Total Sq. Ft.
(Fram rete, brick, etc.) %
ms Baths Basement F:Z��
=-- Chimney Fire ace
Full, part, none) (Kind) (Number)
Heat. Syste Type of Roofing inishT Int. Wall Finish
Use of Bldg. No. of Units Bedr s
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.; ns
4A
-i
NORTH
State Licens
Ind. Ins. Acct. No.
RE94RED
Plumbing Permit' '
n� Heating PermitsL
a
M Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
mom%SOUTH �'
I hereb ertify . formation submitted is correctnd there are no other structures located on this property except
as shown. ' /-7 --7
Owne Agent Date
A LAND USE OR CTURE PERMIT MUST BE ON a HE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELLOW THIS LIHIE
Your street address wi11 be C-) �! e zone i
sewage Permit Number Issued Building Permi Receipt ssued _ --
Remarks