1975, 05-07 Permit App: K7483 Residenceo
• •
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, 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 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 action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
6°L -
Name
O
Name of Owner J,
Architect
Address ��- Phone �j
3 y— 4/..2
Address
Phone
Engineer Address �J/ .� v q 3/ Phone
Contractor.. Address ' Phone
Legal De cription of Property (Give complete description from deed, tax receipt, etc.) % — 4142 / 3
t Ci.C� t- G d J• '-‘,ZK s 4/ � 3 n q
DESCRIPTION OF WORK: New 7,-(7
-A7d(d/ition Remodel Moving BldgJZon�e /
Fire Zon Size of Lot /1 [) X fel 7 / ,- V (3 Sewage Systertrv- onst.
�7 s�,/ (Fr., Con r., etc.) m
Stories' l( Dimensions U -b 5C y 0 j c 71- 2-.L( / 0 X 1g2-44 �- _Total Sq Ft 73 Valuation
Rooms �/ Baths Basement II'',,0Q_�ff Foundation Const `oy< / P Chimney Fireplace
IF II, part, nonce (Kind) (Nu her
Heat. System Type of Roofing&nn )4 Ext. Finish 71-/i--[ ✓ Int Wall Finish v (a -/-t
Use of Bldg.
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road Vocations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; 5 dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
No of Units _ Bedrooms
NORTH
.SOUTH
State License No.
2a — 6/- /3gf8
Ind. Ins. Acct. No.
REQUI
Plumbing Permit -e�� .----•
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I her certify /i�nforrmmation suted is correct and there are no other structures located on this property except
as shown. ,
Owner or Agent
A -LAND USE OR STRUCTURE PERMI
PERMIT.
Your street address will be
Sewage Permit Number
Remarks
Date
UST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELQW THIS LINE
Issued
Building Permit rl8 3
The zone Is
Receipt 7.36 ssued
Form 323 Sick. Code