1972, 05-05 Permit App: J2899 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99407
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT L/3
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 taster 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 he approved by the County Engineer.
MOVING 0P 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.
%tea 7
APPLICANT FILL IN BELOW THIS LINE
Name of Omer 4 ' ---i. — ^ddress 3 C
Architect I Phone Engineer
Contractor - - Address Phone
Legal Descrl n of Property (Give�n�1 a descrip`ti;� from deed, tax receipt, etc.) / 3
---27—) —24-e----- i `2 /,o �" 2 676 --_Ji? a — e/ e 3
Phone.- i9 -41S-3
Phone
DESCRIPTION OF WORK • New V Addition Remodel Moving Bldg._ ne
Size of Lot 7 A ---k 1410, 3 ' / ���se(wage Syste
st Dimensions tic Z `P X � �[+Tdtat Sq. Ft
ern on e, bin etc.)
Rooms Baths ant Foundation Const. Chimney
art, none) (Kind)
fit! pe of Rao[i Ext. Finish /— /( Int. Wall Fini
Heat. Syste
Use of Bldg.
Garage er Carpo t Att ched
a
e Zone
es �L
24f OOC
lace
(Nuniber )/
No. of Units Bed
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.
/7 NORTH yrSY
Now
N-1
SOUTH 9b
State Licenaw, No.
Ind. lns. Acct .
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby cert(fy information submitted is correct and there are no other structures located on this property except
as shown.
6 --
Owner Q,r Agent Date
A LAND US STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS /JOT A PERMIT.�
(9-M?Ail) JJ / / /DO NOT WRITE BELOW THIS
THIS LINE
6JYour street address will be g a L, / The zone
Sewage Permit Number Issued Building Perm9Receipt
Remarks- /�r ssued
Form 523 Bldg. Code