1973, 06-13 Permit App: K1986 ResidenceQ
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE..__a,.
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.
NATER. 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 ofer / Ali'/ `address
Arch itec Phone Engineer Phone
Contra?(or _l Y✓Address Phone /
aL/
Phone- '2 L2
Legal Description of property (Gime completedescription from deed, tax rec pt, etc.)
Aty-
re -
<SA/ v' w ,c -ref len
DESCRIPTION OF WO K: New Addition
Moving Bld one
Stories %%7"�'�.-
�pK�-�` .96k L I — Total Sq /Ft /S /Valu/ation r� '(t
nst CSC r -e- Chimney Ss- Fireplace Fireplace ent`
(Kind) (Number/
Wall Finish dJ �1L/1f� /
No of Units
Private De(atched
Remodel
�3 X i " Fire Zone
Size of Lot �
oust. T2an '--- Dimensions.
e, a c.
Baths -2"'—Basement�%7// Foundation Co
/) (Full, part, none)
(Frame „cogcre t bric k t )
Sewage System
Heat. System L��-� /�-•7 Ty e of Roofing �-�%
age or Carpo(eltta d Deaf -C/A
Use of dg
Ext Finish
em k-
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.
1
Bed
oms
NORTH
SOUTH
State License No.
d
Ind. Ins'. Acct. No.
REQUIRED//,, /p
Plumbing Permit—Silt t /4 02-4-
w. Heating Permit Ji
NSewage Permit h ''
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I' hereby c• y information subm'tted ?erect and there are no other st ctures located on this property except
as shown. �% ,,
-2°-:€/#4111
l a4 Osi eek/n c l!A.l _ .7:53/72,-,C5
Owner or Agent I .--" Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
TrrIS IS NOTA PERMIT.
j F 0) DO NOT WRITE BELOW THIS LINE
1 �p��d-w'�Cf�
Thar street address will be 270 -2 i70 -e, The zone is
Sewage Permit Number Issued Building Permit G�/� Receipt r�%6 e Ia
Remarks ,\ / 7 li
Form 523 Bldg. Code
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