1972, 10-11 Permit App J4747 Renewal of I4517County 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.
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 Owner J i
Architect Phon
Contract o;'ayey..i
Legal Description of Pr.p�x y (Give complete desc ion from deed, tax •cei, , etc.
ddress
gineer
�
Address
Phone Wa - 6 _ d d'S
Phone
Phone Ka [.(IT r, (,CG
DESCRIPTION OF WORK: New Addition Remodel Moving B1 g. one Fire Zone
Size of Lot f ,00 s( l `eD (Z ) j Sewage Syste Stories /
Cons, // Dimensions 7 1 K/ s1 2,1 ✓ k )- f , Total Sq Ft Valuation —'
(Frame, oncrete, brick, etc.) /•. ,7 /% a t Rooms Baseme
Foundation Chimney Fireplace
(Kind) (Number)
Type of Roofin Ext Finish Int. Wall Finish
7
Owl
Heat. Sy
Use of Bldg
Garage or C
(Full, party none)
-1
or Attached
No. of Units Bedrooms
Pr'ivite Detached
ff)oposed
PLOT PLAN
Draw sketch with dimensions showing: (1) property Lines; (2) street or road locations; (3) locatien of existing and buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
em and water supply lines,
as sho
NORTH
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit-6
we Heating Permit
am Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ertify inmation submitted is correct a there are no Other structures located on this ,property except
/U////% 2
ner or Agent / Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMI BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT E BELOW THIS LINE
Your street address will
Sewage Permit Number
Remarks
Form 523 sids. Code