1971, 10-12 Permit App J0971 Residence, Garage•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201x
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
av
Name of Owner
Contractor
ddress
Architect Phone Engineer �a n dh'Cl/' Sar. . Phone ? ^ 6 f�
Address Phone
7
as Above._
phone? 7.3 ` itaey
Legal Description of Property (Give complete description from deed, tax receipt etc.)
Ld+ 3 k- !�, 1 jQr Act 1`f1`ai')
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire Zone
Size of Lot % 70 )( -2&-to /�O Q C-t c-res Sewage System �i ep,tS Stories
Const. Frei/MC Dimensions j/1- X 3 (r Total Sq. Ft..2. at, Valuation 3 7� &-e-F
State License No.
7--23--01--J 9r'
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit Erik�PSCV1
en Heating Permit A- Q-- M
N Sewage Permit c.4janinffidjAyn
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
ify )nformation sorted iscorrect and there are no other structures located on this property except
/0/ !.2/7/
Owner or Agent
(Frame, concrete, brick, etc.)
RoomsBaths "'"Basement Yes Foundation Const CO frlC(' e✓-1- Chimney, %�/a5j )/Fireplace ?�
//�� gull, part, none) L (Kind) (Number),
Heat. System a t E"',t Type of Roofing �// �la /♦ �- Ext Finish 0 � Int Wall Finish Dry Wq if
Use of Bldg. D WC i l 1‘ Ill t No. of Units % Bedrooms 3
Garage or Carport Attached A 4-}(1GI,P 4 y ar-61
Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
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Acre
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as shown.
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address be /00-2Y if?%rrSi der
Sewage Permit Number Issued Building Permit
Remarks r
e zone is
tit Receipt 36 V' issued
Form 523 Bldg. Code