1972, 07-24 Permit App: J4052 Residence, Garage, Deck# •
County 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 an:
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-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 IF! BELOW THIS LINE
Name of Owner
Architect
Contractor
Legal Descri•ti
ddress
2_,,...011P%; Phone
Phone Engineer Phone
Address Phone
of P opert Give c.mplete descriptio rom deed, tax receipt, etc.) �r e"13-
-
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot/7/ -- SC 2/ f ES X 2 2 3. J k /51 2 - `
t Dimensions
concrete, brick, etc.)
Baths
Moving Bldg one
Sewage System
Total Sq. Ft.
Heat. Syste
Use of Bldg.
Garage or Carport Attached
ment
part, none)
ype of Roofing
Foundation
Const
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Chimney
- Fire Zone
ries
Valuat Sfi� O �J
Firedace
(Kind)
Int. Wall Finish
No. of Units
Private Detatched
(Number)
Bed oms
PLOT PLAN
propelinesrty andlstreets; (5)reet or dimensionnss of buildings: d loctions; (3(6)llocation oflocation of existing
and
sewagesys-
State�pL�ice No.
!i"
SOU TH
I hereby certify information submitted
as shown.
s correct and there
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
ni Heating Permit
ka Sewage Permit
M
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
i
are no other structures located on this property except
Owner or Age t
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
' 4 lj 24Q -
DO NOT WRITE BELOW THIS LIIIE
Date
CONSTRUCTION COMMENCES.
Your street address will
Sewage Permit Number Issued
Remarks
all.e zoneisids
Building Permit L�• Receipt 7s Issued
i!
Form 523 Bldg. Code