1972, 04-03 Permit App J2483 TrailerBUILDING CODES &RTMENT, COURTHOUSE. SPOKANE,O.SHINGTON 0
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
' GENERAL REQUIREMENTS PERMIT FEE lOggg
PPRIeIT 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 er 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 47.2,35.
SET -RACK 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.
Name of Owner
Architect
Contractor /�✓L�
APPLICANT FILL. II3 BELOW THIS LINE
__ Addresse / i.2
Phone _ Engineer
Address
Legal Description of Property (Give complete description from deed, tax receipt, etc.
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DESCRIPTION OF WORK: New 1 Addition Remodel Moving Bldg . Zone / Fire Zone �—
1 Stories/
Sewage System J)L1 p
Total Sq. Ft. Jr74-, Valuation fides,
Phone WA 7 7
Phone
Phone
cufLot
Dimensions
(Frame, concrete, brick, etc.) ,{�
Rooms_ /1 Baths ./ Basement '� Foundation Const e � _ � NP.2Fireplace
Chimney P
(Full, part, none) (Kind) (Nu her)
Heal Systen A . Type of Roofing Ext. Finish _ i12 - Int. Wall Finish �j%l,4-ii_ �
Use of Bldg. x(L It C(Q ��L No. of Units Bedrooms
Garrige or Cot -port Attached Private J)1 tatehed
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.
S {RA 2 U 4V.tNORLN
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I hereby c
as shown.
/35'
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SOUTH
rtif- information submitted
State License No.
Ind. O. Ins. Acct. No.
REQUIRED
Plumbing Permit
▪ Heating Permit
to
Sewage Permit
Plans Received
Plans Checked
• Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
Date
A LAND USE OR STRUCTURE PER IT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Owner or Agent
(-// -7'4
Sewage Permit Number
Your street address will be e , /-1 a zone q/ is(
Issued
Building Permit Receipt 7 g Issued
Remarks
C o
DO NOT WRITE BELOW THIS ME
Form 523 i do. Coda