1972, 02-22 Permit App: J1924 Residence0 0
County of Spokane, Washington
8UILDIN6 GQDES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON "201
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.- -_
PERY T REQUIRED. A land use or structure permit is required by County Resolution to erect a building or tructure of any
kin 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.
WA�. 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.
nd
ents
which lareVenforce ble throughrciviluaction. Ccheck ountysions officialsocanants or not bringdactionntoaenforcemcovenantslor dedithe land
cations.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner
Architect Phonr_c!�_,gi:
Contractor scam ' +�' � e to Address
Legal Descriptiqn of Property,(Givye complete description
—
m ��7
s PhoneJaa
er Phone
Phone
deed,,tax receipt, etc.)
0
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone— Fire Zone —3 —
Size of t �L ✓ f Q Sewage System s 2 �-% C'�T Stories �—
Const. Dimensions � Te �/ a 2— Total Sq. Ft. Valuation
—
(Frame, co trete, brick, etc.)
Rooms k2 Baths _ Basement % Foundation Const. p Chimney in � fireplace
(Full, part, none) , , (Kind) (Num er)
Heat. System Type of Roofing ) i � �t. Finish s � Int. Wall Finish kt
Use of Bldg. No. of Units L Bedrooms:—
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
N_
06,
� II
�b N
SOUTH
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
a Sewage Permit
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I herebyertify information submitted is correct and there are no other es located on this property except
as shown. °111.1Z!2�
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENC11a.,
THIS IS NOT A PERMIT.
r DO NOT WRITE BELOW THIS LINE
Your street address will be �f1 `1 e zone is
Sewage Permit Number Issued Building Permit Receipt ssued
Remarks
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