1971, 10-27 Permit App J1135 Residence, GarageCounty 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 he 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.
RES`rRICTIVE 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 O_ /fir" Al Address Phone 25i�
Architect f Phone Engineer Phone Q _
Contractor 7 .4Rodd am-z Address 7S�d 7 d cS//in• Phone ii+G�Q "927
Legal Description of Property (Give complete description from'deed, tax receipt, etc.) _
3Ec 74 /' ,-1 Z. T .5e ex/ '4Y /ock Si" a)f /I,J U / - ,mot) !`+‘- / / S
2413 3 3 - o 6 3 /
DESCRIPTION OF WORK: New /� Addition Remodel Moving Bldg. Zone ( Fire Zone
Size of Lot 9 '- 72 )( /3S • 98 Sewage System %/' -7-•" 7 Stories (.7
Const. v 0,7 Dimensions % rX Z Total Sq. Ft `!'P 7 Valuation. =77 � %' "
(Frame te, brick, etc.)
ii;.' , Chimney
r `" = • Fireplace
Roo= aths T Basement E4/4/ij 5 Foundation Const y P
(Full, part, on S�4kc� (Kind) (Number)
Heat na Oa_ Type of Roofing - Ext. Finish Int. Wall Finish C-; - ^
No. of Units Bedrooms ,3
7
Use of Bldg. )(''.SiAc.-*
praw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines aid streets; (5) dimensions of buildings; (6) location of sewage sys-
State Lice se No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit Z-
N 9 2
Sewage Permit
�-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify fnio mation ub "tted / iy correct and there are no other structures located on this property except
Kas shown.
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
/0
Your street address will be
Sewage Permit Number
Remarks
/ `(? DO NOT W UTE BELOW THIS LINE
e zone is CZ-5_
' \ Receipt S�
Form 523 Bldg. Code