1975, 03-17 Permit App: K6907 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 11
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 ezisting 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 ut14Z 9 `
Address e-:. ' ,44-'41— Phone
tti�ti-Q<'
Name of Owner
Architect Address Phone
Engineer r Address Phone
Contractor Z1 •t Address Phone
Legal Description f Property (Give compl to descijption fr m deed, tax ceipt, e c`ice' �%✓ `�
7C) / Lr �� ! A/. -4- L4/<-*" i f"' - . AI W d 2J GL Fi ,r-, S, y exc. �. /9D `
V- Z. C_ 'aih'P/ H R
DESCRIPTION OF WORK: New )( Addition Remodel
Size of Lot 7) X
Moving Bldg. Zone Fire one Hi,
onst.�/� "0-"k{_ -
(Fr., Conc., Br., etc.) )
I Sq. Ft„_4'L 7 /- ValuationV&�
ChimAiey `� Fireplace 'Z
(Kind) ' (Nu�mper
.t. t.7 Int. Wall Finish ib /Ar41.'
No. of Units Bedrooms 3
Stories Dimensions X �:S L' '� �- X `�'#110,g44x.il.
Sewage System_
Rooms
(p Baths % (Full, part none)
Heat. System YA. T fe of Rosi fing
Use of Bldg. ,4..�.�, �2 CUI.44L/C2-
Foundation Const
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Ext. Firish a
ra e
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines a'id streets; (5) dimensions of buildings; (6) location of sewage sys-
SOUTH
State License No.
Ind. Ins. Acct. No.
"
Plumbing
Plumbing Permit
rn Heating Permit
310
toe Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify infor?atin subm'ed is eorrpet and there are no other structures located on this property except
as shown.x;
Ai 7
` 3-,i7-7.�
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
--n'6010, �1
•
Your street address will beLG�v�c.0-x=1ce zone is( l&(iL4i''
Sewage Permit Number Issued Building Permit ceipt e/117/0/ Issued
Remarks
DO NOT WRITE BELOW THIS LINE
Form 523 Bldg. Code