1972, 09-26 Permit App: J4541 ResidenceAPPROVED As NOTE17 k
Spokane Ccun;yEdg. c: c, ounty of Spokane, Washington
Date_ -
B I{.DING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
bydPPL1C�iION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE____k -------------
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.
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 OwnerL --a. —
Architect
Contractor
L� Deschi ption of Pr
I
ffy/r w Aaaress
Phone Engineer
Address
(Give complete cjescriptiotl fyom
deed,
7 _S A/P - Phone X77-2 Z_
Phone
_ Phone
tax receipt, etc.) 46F7—
. r
�.�`f
-DE:�CRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fir
_ _.._
Size of Lot / C2 JC / 7 > Sewage System — torieess /
Const. r% Dimensions / �� 24 -a' -Total Sq. Ft. �_Valuation&6e__Q� a o d
(Frame, concrete, brick, etc.)
Rooms -12? -1— Baths,—_ Basement Foundation Const. Chimney Fireplace
(Full, part, one) (Kind)(Numbe )
Heat. System Type of Roofing Ext. Finish Int. Wall Finish
Use of Bldg. No. of Units Bedrooms _1
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.
NORTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
M Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
11f Q,A� SOUTH
I hereby certify infor tion submitted is correct and there are no other structures located on this property except
as sh n.
zlil
Ow or Ag t Date
A LAND USE OR STUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will bee zone is
Sewage Permit Number Issued Building Perm Receipt_ Issued
Remarks
62"__ z% , , . _X`-
W
0 Form 523 Bldg. Code
00