1972, 08-28 Permit App: J4240 Residencet •
County of Sp lane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND 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 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 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 -RACK 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.
081WTV MAN. Werk tin etrApt Fight•nfolaY mar not be per19rme4 oL11 @t§ked bT County Road Department and cork must be
Performed in accordance with stakes. Points of ingress and egress must be approved by the County vnginQQr.
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 Eegineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
\.bich
STRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
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 ddress Zip `-,P�I-!pu e, Phone '
Architect_ Phone Engineer y Phone
ContractorAddress �l�o�i iix�G(� Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
DESCRIPTION OF WO
RK: New Addition Remodel Moving Bldg. Zone Fire Zone
dam" —
Size of Lot � ,A Sewage System 'f-44 e -r Stories Z
Const, AWle-, Dimensions �T �T /�
` Total Sq. Ft. _,4..r! valuation �OO
( Frame, co crete, brick, etc.)
RoomsBaths __Z_ Basement Foundation Const. 17 l`�i%e/ Chimney �- Fireplace
(Full, part, none)(Kind) (N mber)
Heat. Systeme yQ1 Type of Roofing CQ V O. Ext. Finish ��OG�� Int. Wall Finish ,be q
Use of Bldg. E S"/ Q/P/)C PJ No. of Units Bedrooms
-
(.amge or Carport Attached Zane, Private Detatched
PLOT PLAN -,7 ;7
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 _
Ind. Ins. Acct. No.
SE. e c (Z:7 JZ)\ G. r1
SOUTH
REQUIRED
Plumbing Permit
in Heating Permit
�n
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby c tify informat'on subm tted is correct and there are no other structures located on this property except
\as shown. - I
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW
LIHF.
Your street address will be
The zone is`�
Sewage Permit Number Issued Building Permit Receipt Issued
Remarks - _
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4
46
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74 S
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