1972, 02-22 Permit App J1973 ResidenceGENERAL 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 mast 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. Rhere 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 _
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
Name of Owner ddress
Architect Phone Engineer Phone
Contractor ,e2A.s",L Address Phone
Legal pescrip�tion of Propert (Give complete description from deed, tax receipt, etc.) . C( " ' — "� 0 s
30' ,4I/ W. i ' V �
DESCRIPTION OF WORK: New ' Addition Remodel
SizeofLt pit % G t / y z '
Const. — Z4.vti..f. Dimensions 3e 5(.2S'i4 38 `3e.2 V
(Frame, c2ncrete, brick, etc.)
Rooms 00 Baths " Basement
�^ (Full, part, ifone)
Heat. System . 6 s Type of Roofing
Use of Bldg. 1 ,
Garage or Carport A tached
Foundation Const
Ext Finish
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
.414.1
NORTH
Moving Bld . Zone / Fire Zone
Sewage System Stories /
f� Total Sq. Ft. is- l Valuation ,22_, 0->�
e-' ".'_— • Chimney Fireplace "-'
(Kind) j i (N mbe/r)
Int. Wail Finish <r�
No. of Units L_ Bedrooms T
Private Detatched
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
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I hereby certify informat'on sgbmitted
as shown.
A LAND USE OR
Ownero
ST U
THIS IS NOT A PERMIT.
"Yl'„azie.
Your street address will be
Sewage Permit Number Issued
Remarks - IO C3 K 7i Z
Agent
TURE PERMIT MUST BE ON THE PREMISES BEFORE
is
s. m
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correct and there are no other
State License No.
9.23-0/-62.S3
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
DO NOT WRITE BELOWS LINE
Building Permit
Date
CONSTRUCTION COMMENCES.
e zone is
�j Receipt
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BLAINE JOHNSTON CUSTOM BLDG.
P. O. BOX 53 DISHMAN, WN. 99206
WA 4.1332
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