1973, 10-23 Permit App: K3131 ResidenceCounty of Spokane; Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 992 1
APPLICATION FOR LAND USE OR STRUCTURE PERM
GENERAL REQUIREMENTS PERMIT FEE..
PLRMIT 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.
TATER. 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 Address 2
Architect _ __. Phone Engineer Phone
Contractor Address Phone
Le 1 Description Property (Give complete description from deed, t� receipt, etc.) (i' 6 - 1 0 7 d
Phone t 7—:2(,'6
�,b
DESCRIPTION OF WORK: New
Size of Lot O CO J ) cid
Const. Dimensions
(Frame, oncrete, brick, etc.)
Rooms _ Baths , - Baseme
(Full, part,
_Type
Addition Remo
6 Foundation Const
Heat. System
dg
lrage or C arpor
del
Moving Bldg. Zone / Fire Zone
Sewage System c,Fi Stories
Total Sq. Ft /'L 6, Valuation
one)
Roofing ,(42a,,,--70
Ext Finish
m
col
Draw sketch wit dimensions
posed buildings; (4) distance
m and water supply lines.
owing: (1)
to property
NORTH
3
Chimney Fireplace
(Kind) (Number)
v� Int. Wall Finish
No. of Units
Private Detatched
PLOT PLAN %e74<
Bedrooms
property lines; (2) street or road loca 1i ; (3) location of existing and
lines and streets; (5) dimensions of buHdings; (6) location of sewage sys-
Of
I hereby
as shown.
4—‘,---C,47J1SOUTH
certify information k9 tted
`/' /7.
Owner or Agent ` Date
A LA D USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
)
s correct and
m
ate License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
/0 2 yy
Your street address will be
Sewage Permit Number
Remarks
DO NOT W
BELOW THIS LINE
e e zone is
Building`Permit L Receipt
F
Fenn 523 Bldg. Code
c5
a-0