1972, 08-04 Permit App J3966 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEES
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 County Officials can not bring action to enforce covenants or dedications.
9a 7
action.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner j` / ✓'f i � G lL Address �7� 3 (_. �- Phone/Ill— 7 - G 7 f�
Architect Phone Engineer Phone
Contractor A.ANLZ, Address Phone
complete description from deedyyta; receipt, etc.)
Legal Description of Property (Give
Ii D T c7 13,L KJ
DESCRIPTION OF WORK: New _— Addition
Size o of /G/) X -'l Z
Con art-6.44-t.`, Dimensions X /cq
( Frame, concrete, brick, etc.)
Remodel
Moving Bid Zone L Fire Zon•
Sewage System.P 'L' Stories /
Total Sq. Ft Valuation -1 34961d
Rooms 7 Baths a Basement 1i Elk: Foundation Const. L-C-4— i.C- Chun e fireplace �—
Cti _ (Full, part, none) r
`A. Ty e of Roofing-� 't�v�� Ext Finis
! F
Heat. System
Use of Bldg.
Garage or Carport Attached Private Detatched
b
• _ (Kind) (Numr) nn
h C> Int. Wa11 Finish N/
No. of Units Bedrooms
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
/3lel)A D �J4T I
e`G
l I
F-41-2
NORTH
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-
(Oa
SOUTH
I hereby certify information
as shown.
s correct and there
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number Issued Building Per
Remarks
State License No.
0,K
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rw Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
Date
PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
e zone ij'.' L- L-44
Receipt Issued
Form 523 Bldg. Coda