1974, 04-24 Permit App: K4334 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
/PERMGENERAL REQUIREMENTS PERMIT FEE 67-
PERMIT
IT 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 a...ci„,-t•a.-s Address S�G� a�r+L,ri l
Architect ""� Phone Engineer 1 Phone
Contractor v.„7, -e -,,._.,a,..- Address Phone ®
Legal Description of Propert . (Givcomplete description from deed, tax receipt, etc.) c.�._.,.. t a3.[ift.,i
.26Ne.A ,..r- d' c .A ,► /'azo e lilt -fed/ a G s 31 -- 9 e Y /
Phone oJA Li 5 3 t
DESCRIPTION OF W9RK: New Addition
4:.
�T
Size of Lot o e / sj% r
Const. J 'tal-e*�t. Dimensions e 6 1+
(Frame, concrete, brick, etc.) ,2 o A y r‘..e
Foundation Const.
Remodel
Rooms se Baths al Basement
(Full, part, !tone) A
Heat. System -' Type of Roofing e.es+1
Use of Bldg.
Garage or C rpo t ached
Moving Bldg, Zone 1 Fire Zone 3
Sewage System /Ileee j Stories /
Total Sq FLA ' `� Valuation a -:t c,
Chimne 'replace
Z
y p Kind) (Number)
Ext Finish Lea/La/ 7. 1 tt. Wall Finish
•
No. of Units Bedrooms I
Private Detatched
PLOT PLAN
- Draw sketch with dimensions showing: (1) property lines; (2) street -se -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.
NORTH
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a
State License No.
:tom -1- hZ,4/-3
49. 1
d. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating 1 rmit
Sewage Perm
Plans eceived
Plans Che
Plans Returned
Plans Picked Up
Plans Mailed
'Sf'' SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
(9:1,1) ' 4
Your street address will be
Sewage Permit Number Issued Building rmit Receipt Issued
Remarks J'
DO NOT WRITE BELOW THIS LINE
e zone is
Form 523 Bldg. Code
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