1972, 09-27 Permit App: J4569 ResidenceCounty of Spokane, 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.
9
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.
Name of Owner
APPLICANT FILL IN BELOW T IS _NE
Architect
Contractor
Lega Iescription o
DESCRI
Size of Lo
Const
(Fra
Roo
/ION OF WORK: New Addition
Property (Give com
/I
ddress
Engineer
Address
9aa7
script ion fr
deed, to
, etc.)
Phoneme -(J %- /o d/
Phone
Phone
��,ii DimensionsD
,ic 44.0 -.76 _.0
-concrete, brick "tc. )
/��Baths�/1� Basem _: ' Foundation Const.
(Full, par f onc2
Type of Roofing
Remodel
Moving
Sewage Sys
Total Sq. Ft.
Bldg. one
Heat. System
Use of Bldg.
Garage or Carport At (lied p2_4_
Ext Finish / ///
Fire Zone
Stori 5642
Valuation
Chimney Firep
(Kind)
Int Wall Finish
e �.
Number)
No. of Units Bedro
Private I)etailchect
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.
m
NORTH
SOUTH
I hereby certify information submitted is correct
as shown.
and there are no other
State License No.
Intact. No.
REQUI
Plumbing Permit
Heating Permit
Sewage Permit
D
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
t ,�(. 1 - L� ,, - 9 ,12-,2-7-2,
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTPERMIT. ',
rn�) DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
Building Perml
•e zone i
�y�� Receipt
Foran 523 Bldg. Code
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FILED OR RECORDED
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