1971, 10-20 Permit App J1058 Addition•
Moving
Const_ Sewage System
Total Sq. Ft. / 6 Valuatio
Basement , Foundation Const Chimney Firer ace
(Kind) % (Number)
Heat. System p ng Ext Finish _ Int. Wall Finish i/G.
Use of e o of Bldg. -emuCY--
- zs+--yj.��. No. of Units Bed 4ms
Garage or Carp Attached
Private Detatched
Dimensions
concrete, brick, etc.)
Rooms Baths
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS 1^ERMIT FEE
PERMIT REQUIRED. A land use or structure permit 1s required by Ccunty 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 mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is su`:,ect 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 Ccunty 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 he 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 ddress -s / 7 !-'e �- Y/ Phone /y
Architect Phone Engineer Phone
Contractor �/s�-- Address Phone
Legal scription o Propert (Give complete description from deed, trxy�rec pt, .7 / 5}
7� -� � moo' - 3
DESCRIPTION OF WO K: New Addition � Remodel
'
Size of Lot / TS•
(Full, part(i e)
fi
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem
and water supply lines.
NORTH
PLOT PLAI!
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
„d,
SOUTH
I hereby certify information submitte. 's corr and the are no other structures located on this property except
as shown.
State Lic nse No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit6.4
Sewage Permit — l
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed ~'
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS JH
57/
Issued
Ruildipg PermitSI'/4)