1972, 03-23 Permit App J2262 RemodelCounty 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 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. Where work on rater 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 owner Blaine A. Johnston Address East 12604 Sprague Phone 928-5700
Architect Phone Engineer Phone
Contractor same Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) J r 5-3/.O 7' d3
N. 261.7 ft. of the W. 2/5 of the W. 1/2 Blk 117 Except the N. 5ft. thereof Vera
DESCRIPTION OF WORK: New Addition
Size of Lot 141 ' X 261.1
Const. frame Dimensions
(Frame, concrete, brick, etc.)
Rooms Baths Basement Foundation Const
(Full, part, none)
Heat. System_,..---3
//JJtype of Roofing //
Use of Bldg. E-N-*^� ,72e/e1.0- C
Garage or Carport ached
Remodel X Moving Bldg. Zone
Sewage System
Total Sq. Ft
Fire Zone 3
es 1
2,000.00
Chimney Fireplace
(Kind) (Number)
Ext. Finish Int. Wall Finish
No. of Units Bedrooms
/ Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or
proposed buildings; (4) distance to property lines and streets; (5) dimens
tem and water supply lines.
NORTH
71k.r f _ 7714A-rs-14; w 7' / 1 / F-t R
3
I hereby crtify infor
as shown. / - (
�4.yt..c
road locations;
ions of buildings;
(3) location of existing and
(6) location of sewage sys-
State License No.
223-01-6253
Ind. Ins. Acct. No.
91-0689895
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
tion.submitted is correct and there are no other structures located on this
- 7�
property except
�Owne r 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 .3
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
Building Perm
The zone i
Receipt
Form 523 Bldg. Code