1972, 06-02 Permit App J3363 Residencer
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
nun 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
ddress Phone
3s�i
Nam) of Owne_
Architect Phone Engineer > •Phone
Contractor Address 4G �AY �LC j/�-C --/ f' Phone
Legal Description of Property (Give complete description from deed, tax gpeeipt, etc.) i.
/3/3�-
DESCRIPTION OF WORK: New
Size of Lot '76'4. ' C. " ( /_ w `':)~
C Dimensions
dam concrete, brick, etc.)
ooms_1 Baths
Heat. Syste
Use of Bldg.
G or Carport Attached
Addition
Remodel
ement
ull, part, none)
Type of Roofin
- ="14-
Foundation Const
Moving
Sewage System
Total Sq. Ft.
Bldg. Zone
(Kind)
Int. Wall Finish
Fire Zone
oriel
7 ) C%
)
Fire ce
(Number)
Bedroorlis
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.
IL'
in
N
-4
NORTH
SOUTH
7
I hereby certify information submitted is correct and there are no
as shownA ._ ,�-, //
- ,tit.e.‘ , , ALZA A A 4 - 2 - -7 eq,A...i
inner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION
THIS IS NOT A PER)[IT.
other
State Licens No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit f- • c T�
Heating Permit
Sewage Permit
Plans Received
Plans Checked f
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
DO NOT WRITE BELOW THIS LINE
COMMENCES.
Your street address will be
Sewage Permit Number Issued
Building P
The zone i
Receipt
ssued
336.3
Form 523 Bldg. Code
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LEGAL_ TDES CR\PT10r.1
FAST -7c0.9Co BEET oF" THE UoRTN 163.5 FEI
TR ACT 132. OF ORCN ARD AVENUE..
or:
Le S me- IC
Perm k Only
WA co- 132Z