1971, 02-24 Permit App: I3631 ResidenceI
Count of S okane Washin ton
Y P I 9
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BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMI
GENERAL REQUIREMENTS PERMIT F-69_____________________
FMIT 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 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 IN BELOW THIS LINE
Name of OwnerAddress � � �y a17 Iy one 7,4 -T -0 /n9
Architect Phone Engineer Phone
Contractor JO£,4) on5 J / a( Address IQ N.jW
—n4e4si t Phone
Legal Description of Pro t (Give complete descriptipp from deed, tax receipt, etc.)
DESCRIPTION OF WORK: New ✓1� Addition Remodel Moving 'Bldg. Zone Fire Zone
Size of Lot X /ai&,4"6 6, Sewage SystenS:!wek s rem Stories
Const. Dimensions 40 X v q Total Sq. Ft. Valuation
(Frame, concrete, brick, etc.) e 9Sj 3"')
Rooms Baths Basemen tT�LI/ Foundation Const. Chimney 1 C Fireplace
(Full, part, none) / (Kind) (N be )
Heat. System Type o fing 0'6T_ Ext. Finish w �o Int. Wall Finish
Use of Bldg. ud OQ�q s%CAPA?0 e, No. of Units Bedrooms
/✓
Garage or Carport Attached y Private Detatched Na
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 propprty lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines. 3 i
! State License No.
NORTH
Ind. Ins. Acct. No.
25�
E
H
6`
TH
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Pians Picked Up
Plans Mailed
I he�reeby" certify yivnfor i submitted is correct and there are no other structures located on this property except
as sholu vL,o c 416
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
COMMENCES.
Your street address will
Sewage Permit Number
be //- d 0 Y,
9 � (�w
The zone is �Ai
Permit D� i 3 / Receipt;�� Issued
Issued
Building
Remarks
Form 523 Bldg. Code