1975, 04-19 Permit L7261 PoolCounty of pokane. as in ton
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 OwnerMA Address 4'Y,o S. F /fS n a Phone
Architect Phone Engineer ��// Phone
Contractor Pnp/reC 71o/J6. J Address GG'7. chii /y/gS ri A27 S Aa/ Phone $i,ii-rJihei sS
Legal Descripti n of Property (dive complete descriptiojt from deed, tax rece}jpt, etc.) 2' e ai--'4' / - 0a>C
,--e- 7 S /Jc e ci / 0-d et Lce. .� 3 4- -G.(.(.lr.4P et/i
DESCRIPTION OF WORK: New L- Addition
Size of Lot /O3 ,' 3R/„
ConstaC> m- +7.'ckyy ((-Dimensions
(Frame, ete, brick, etc.)
Rooms Baths
Heat. Syste
Use of Bldg.
Basement
(Full, part, none)
Type of Roofing
fl.i2..e-c./
Garage or Carport Attached Private Detatched
Remodel
Moving Bldg. Zone a< Fire Zone
Sewage System e(JA Stories kV/ -
Total Sq Ft Valuation/ctiYg, or,
Foundation Const -2,6
Ext Finish
Chimney
Draw sketch with dimensions showing: (1)
"proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
SOUTH
I hereby certify information submitted
as shown.
Fireplace
(Kind) (Number)
Int. Wall Finish
No. of Units Bedrooms
PLOT PLAN
property lines; (2) street or road locations;
lines and streets; (5) dimensions of buildings
(3) location of existing and
(6) location of sewage sys-
State Licegse No.
Ind. Ins. Acct. No.
Plumbing Permit
Heating Permit
Sewage Permit
REQUIRED
C
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
4.-e- /74-7. ��� . /—f y— 75 —
twroer or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 15 NOT A PERMIT.
/I8O NOT WRITE BELOW THIS LINE
Your street address will be
(/r//�j °� a zone is
Sewage Permit Number —Issued
Remarks
Building Permit--� Receipt 7 .37.E Issued
A- %G
Form 523 Bldg. Code