1973, 06-13 Permit App: K1985 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 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
0°i
Name of Owner
Architect
Contractor
ddress Phone /IC,' Y2- 2 -Z --
Phone Engineer Phone
Address Phone
Legal Description of Property (Give complete descr�'pgio from deed, tax receipt etc.)
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DESCRIPTION WORK: New
Sze of Lot
Fnst. />.' -e D
'Frame, �{tcrete, brick,
Rooms ` Ba
Heat. System
Use o Bldg.
or Carport
1 -
Legal-
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Mpg.ddition Remodel Moving Z ne 1 Fire Zoi1u.1._f
X /Sp uSgwage System le, Stories0-)12 4.—
imensions 3 .WM tt7/%Xl�otal Sq Ft ./ & Valuationc4 1.7- VOA
etc.) j'
Basement Foundation Const
(Full, part, none)
pe of Roofi
c`_ J
//A)4(7✓e✓' Chimney /O
/Fireplace
_(� Fireplace
Ext Finisl�tIO KJC �n'11(t Wall F m)ish �i' ( /6 fre/
C::a-. ✓ No. of Units / Bedrooms Z
Private Detatehed
Draw sketch with dimensions showing: (1)
`,proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sYs-
71/4cday
} SOUTH
hereby t`fy infor'on ,Suitt is'�grrect and there are
as shdvn.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
State License No.
Ind. Ins. Acct. No.
REQUI ED
Plumbing Perm
m Heating Permit
Sewage Permit L -f
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this
property except
Your street address will be
Sewage Permit Number Issued
Remarks />
9
y
Building Permit
NSTRUCTION COMMENCES.
e zone is
ceipt,? 76A
Form 523 Bldg. Code
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F.H.A. APPROVAL ONLY
SPO. CO. HEALTH DIST.
7/d Sea f eS
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