1973, 05-09 Permit App: K1574 MHCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
PERMIT FEE
GENERAL REQUIREMENTS
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 mast 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 -RACK 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
__Address . H« Phone
Name of Owner _Lgi
Architect Phdne Engineer Phone
Contractor Address Phone
Legal Description Property (Givej
complete de eription from deed, tax receipt, etc. /
_40T 15 0c..i/7 Q e d -. 1 r'I,/G i?e
,s-- ys—
DESCRIPTION OF WORK: New Addition
79Xi/3'
Size of Lot
Const _ Dimensions
Remodel Moving Bldg. Zone
Sewage System S--,-7 i e-- Stories r
Valuation / WO 0
/✓�OG/` Chimney Fireplace
/ (Kind) (Number)
sh /1lt! < Int. Wall Finish
Fire Zone s -J
(Frame, concrete, brick etc.) A
Basement I Foundation Const.
(Full, part, none)
Type of Rpofing
Rooms Baths
Heat. System G
Use of Bldg.fjl�i
Garage or Carport Attached
Total Sq. Ft. /doh
e e`
e • S,' e- 71 (!_ No. of Units / Bedrooms
Private D tatched
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.
N
NORTH
I he
as shown„
m
To
col
—11
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
eb» caftiiy information submitted is correct and there are no other structures located on this property except
7-77 /i73
Date
MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
Owner or Agent
A LAND USE OR STRUCTURE ERMIT
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be J3)'cile/d�
Sewage Permit Number Issue Building "Permit
Remarks n tc e -7,C, �
The zone is
4( 151 y Receipt
i/V4/1 Jel
Issued
Form 523 RIdy. Code