1971, 03-09 Permit App I3922 Rec, Utility Bldg•
County of Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT j
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 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 Owner SCLN/e/SE 1/O,'771 !Ale- . Address /3![i/^ 6. %ee_NT
Architect Phone
Contractor 23LAlitte J5e76/,S7-0AJ
Legal
Description of Property (Give
Phone
Engineer Phone
Address /06.3 E. J 1/q-GItSQAl
Phone Gv iy/33a.
complete description fr gtp, tax receipt, etc.)
9-/ - 3Do b f
DESCRIPTION OF WORK: New Addition
Size of Lot (p�G..'/ ix 304.
Const PA"C Dimensions 4 7 X 21
(Frame, concrete, brick, etc.)
Rooms . Baths 2_ Basement
(Full, part, none)
Heat. System Eitcriere, Type of Roofing
Use of Bldg. PfC�. A-Tc2,71.i 1 4.77LZ
Garage or Carport Attached
APo
Foundation Const
yeyrs,—
c.s1i
Remodel Moving Bldg. Zone / Fire Zone i
Sewage System7A9eif 1tlrivr PC�J T Storips 2-
Total Sq. Ft �r 0 0 Valuation" c 4 D"ara
Chimney 0 Fireplace O
(Kind) (Number)
Ext Finish 711t/v1Y-6 Int. Wall Finish a+P1L4/4.91-4
No. of Units i Bedrooms CI
Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
'fig'
A
36D.
At/
ijv'x20
126c f 1t,rtUry 13 j,
6,;61
904 Doiv,4-t-b I c1 Amurw E
I hereby certify information submitted_
as shown.
Owner o
is correct and there are
State License No.
o�33-0i — 3
Ind. Ins. Acct. No.
9/ 0t -- S 989 5
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located
3- --2/
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
on this property
except
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
e zone
Building Permit 4
3 j Receipt 3
Form 523 Bldg. Code