1971, 12-01 Permit App: J1458 Residence - . .
• County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT6 -
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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 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-ray 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 BUILDINGGS. 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.
APP ICANT FILL IN BELOW THIS LINE ,
/ �. I J�
Name of Owner-.r,f / � Address / 0.5 ) e, • t--�- Phone td a'-6 k 'if
Architect , Phone Engineer�_ Phone
Contractor Address ___ Phone �L
Legal I•scription of Property (Give complete description from deed, tax receipt, etc.) re2 -'s-` 3 —
I 1 ‘ ' 'iZ-----4 A-5 0 a-1 "
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at
DESCRIPTION OF WORK:New fr--- Addition Remodel Moving Bl .Zon Fire Zone J
Size of Lot ace) X 1 9 _ Sewage System Stems I a.--0.:.---
Const. Dimensions g 4/ X - 7+ (A_#-.)--6)(---3 Total Sq. Ft. -k-e—eJ Valuati �'Q'
(Frame, oncrete,brick,etc.) Y 3c<0
Rooms 1 aths nBasementFoundation Const. _ Chimney FireplaceNumb )
(F 11, part, ne) n (Kind)
Heat ystem_ a' Type of Roofing6..---e--4-(4 Ext. Finish _ "-'-c�/CYi Int. Wall Finish
Use of Bldg. No. of Units Bedrooms
Garage or Carport Attached Private Detatched
0
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. C�OJ
State License No.
NORTH yap
®(9 Ind. Ins. Acct. No.
b k°
3 K
3 REQUIRED �, /�
Plumbing Permit--L`—� 6ab '
,C en Heating Permit
m p
IA M Sewage Permit
Plans Received .`41111Pr
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
./((lar
SOUTH -TTar
I hereby certify •nformation s bmitted is correct and there are no other structures located on this property except
as shown. fC 12-
,
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON eHE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
i
Your street address will b:�4 97 /q / l / _._.the zone is
Building Fermi '•ceipt Issu Sewage Permit Number Issued t
Remarks _ —