1973, 06-13 Permit App: K1983 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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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 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 Mid land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
Name df Owne
Architect
Contractor
APPLICANT FILL IN BELOW THIS LINE
Phone
ddress Phone/if-72 1
ngineer Phone
Address Phone
Legal Description yf Property (Gi mplgte d s rrption from deed, tax receipt,etc.)
L fit' 7��• 7j ra a� '�
�lr ll/ t� /fle aticea
DESCRIPTION OF W RK::I�TewC t Addition Remodel Moving B
Size of Lot 1L. "\ / �� , / e e/ a '%104 S/6wage System
/;>.
Const. 7yz6 Dimensions 4P0 X a 7 Kata1 Sq Ft
(Frame, concrete, brick, etc.)^ �1y Op
Rooms _ Baths2— Basement/' Foundation Const C i, tiC tele-
O
(Full, part, none)
Heat. System L a --J Type of Roofin
Id Zo e Fire Zone
Stories w C!' eke
n�
Valuation r� � ISS` "
Use
1dg.
or Carpor Attache
e__
Chimney'C lJlt, [ Fireplace
Ext Finish ijV, /- tZ L 'Q1 1Lt._ Wall Finish V77 an.)
No of Units l Bedrooms 3
Private Detatched
Drawsketch with dimensions showing: (1)
posed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
m and water supply lines.
• NORTH
PLOT PLAN
(Kind) (Number
property lines; (2) street or road locations; (3) location of existing and
m
• N
-I
I hereby
Cas shown.
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e
SOUTH
y in or ion su• •it a•
is
ds -
State License No.
6
Ind. Ins. Acct. No.
REQUIRED
q
Plumbing PermitSm // %
n+ Heating Permit
Sewage Permit
y
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•
L•
a.
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
rrect and there are no other structures located on this property except; .
Owner or Agent '
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFOR
THIS 1S NOT A PERMIT.
Your street address will be
ar e
CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
&r ?ie / 913 (, 1-,U
� f� e zone is r� !
Sewage Permit Number Issued Building Permit Receipt rL7(�d I surd ut
Remarks
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Form 523 Bldg. Code
C.)
F.H.A. APPROVAL ONLY
SPO. CO. HEAL
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