1973, 06-13 Permit App: K1988 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, 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 onwater 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 7p° Owner
Archilkect
Contrjctor
Legal Description
ddress tc7XC �%(1 .'7 Phonel"P-V12 L-
agineer Phone _.
Dr -71-e_ Address Phone
of Prourty (Give compl to description from deed, tax receipt, etc.)
24, vi t ui a ,-ea' —nee/ A"`r,1 c" r — &Cc)4T
DESCRIPTION OdF��QRNew
K:
Addition
Size of Lot
Const. f/h%'t- Dimensions -re)/ z -V cP' -17 Total Sq Ft ./1 0 Valuation 9t1
(Frame, cone e, brick c.) T�7 /
Agoms Baths Basement Foundation Const c-� n.�%,ele . �� y ChimneyQfC Fireplace
/eat. System ��-J (Full, part, Type of Roofing .art, Eat Finish / /v� - gibe -it- Int. Wall F(Kininish S
Use of Bldg. C-1 No. of Units / Bedrooms 2—
ire or Carport:,[tach VO 1-e hie- Private Detatehed
Remodel Moving
Bldg. Zone/ , Fire Zone—
Sewage System 7tc' Stories �
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.
NORTH
I hereby cer
as shown.
SOUTH
information submi ed
cor
no
N
y
State License No.
L1i�f�
Ino'. Ins. Acct. No.
REQUIRED JJ
Plumbing Permit—Cm t14 5-
L.
Heating Permit
Sewage Permit
of
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ct and there are no other structu -s located on this property except
Owner or Agent ( •. e
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES?
THIS 15 NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
/
Your street address will be {%
Sewage Permit Number Issued
Remarks
Building Permit
e zone is
/inReceipt eZ 767 ued
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in 523 Bldg. Code
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