1975, 04-14 Permit App: K7217 Residences •
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
Name of Owner
Architect
Address At
Phone
ir
Address 1 Y. Phone
EngineerO Address r4q o 3 7 Phone
Contractor ,-rte Address / 7 % O 9 g 3 6 r 1J Phone /' +-(6 —7006
Legal De prion of Property (Give complete descri tion from deed to ecept etc 1
6 an
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire Zpne
Sewage System S T Const.
/!/3/ Fr., Cofic., r., a c.)
./- Total Sq Ft IL�TQ
Valuation a 3
Rooms Baths Basement Foundation Const C�.-e.tet-r--C,P Chimney Fireplace //
u I, part, non (Kind) �1} IINGmmberr
Heat. System Type of Roofing C-40-71-� Ext Finish /%� Int Wall Finish
g. No of nits _ Bedrooms
Size of Lot /(co "3 'a-0
Stories Dimensions
aiO1`G U'�
PLOT PLAN
raw sketcty'with dimensions showing: (1) property lines; (2) street or road loEfit Y6ns; (3) location of existing and
proposed buil gs; (4) distance'to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water upply lines.
NORTH sIo
soy
State License No.
01-43— (6 (3
H
SOUTH
(C///7
yc
//i/
EQUIRED
bing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
eby certify information submitted is_v erect and there are no other structures
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(y-,u,-741.412:ZD7On NOT WRITE BELOW THIS LINE
Your street address will be 3 a S V/ • / The zone is
Sewage Permit Number Issued / Building Permit _ Z.1 2 Receipt
Remarks
located on this property
except
Form 523 Bldg. Code