1975, 04-22 Permit App: K7293 ResidenceCounty of Spokane. Washington
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
kind or alter any building or structure already erected, or to change a land use, Construction must
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 47-255.
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 —7 �/
Name of Owner t.1 . � %��(j( i address J17.09 99 we Phone ff � / 6-V3
Architect 'mj#fYi I Phone Engineer Phone
Contractor Address Phone
structure of any
conform with the
Legal pescription of_Prope ty (Give c.mplete'e�criptioq from dee
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iax receip •tc.)
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DESCRIPTION OF WORK: New Y Addiit' n1 Remodel v^ Moving
Bldg. Zn. 1 Fire Zn. _ Size of Lot 8 X 1 4 J SeRage Systems : ./ %t#f\ Stories /•��
r (SEPTIC TANK. ETC. )
-.1 sq Ft 1j50 valuatio -=.91,0°‘)
Construction 1 RA rn E Dimensions 4
(FRAME,C NCRETE,RR ICE 'ETC.)
Rooms Basement Foundation Const COMUt Chimney )i//'
Fireplace _tg. Sys
A
(FULL Ext. (W.,AIR,STEAM,EFCCuel
t kL
Gara Attached Tenn of Roofing !"_/ N} c;.;.1iEe4kip Int. Wail Finish 12)7
LQArr IPLASTER,NRWALL !
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.E C.1
Use of Bldg. 'res►rice_ No. of Families — Miscellaneous
- PLOT PLAN
Draw sketch wrath 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.
NQ it
1
I he •b
as shown.
c rtifs:"inf
ner
SOUTH
State License No.
;3 of
. 57Acct. No .f„ 77
{ 11
REQUIRED
Plumbing Permitp/�r�2r,¢/Jrt
Heating Permit
Sewage Permit
tion submitte is cor ect and there are no other struct es located
on thispropertyexcept
or Agent
Date
RETURN TO: BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
DO NOT W ITE BELOW THIS LINE
Your street address will be �.� le zone i; ./41,
Sewage Permit Number Issued Building Permit )1V772.1 , Receipt 3d )/ Issued
Remarks
Form 523 Bldg. Code