1974, 08-20 Permit App: K5562 Residence0 •
County of Spokane, Washington
BUILDING CODES DEPARTMENT. N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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 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 47235.
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
3 r
Name of Owner ,04 moi a��-1���.._. J �/a-(�F Address Phonep,. J
Architect t�i1�/�•—/./. �^WR' '4..- _ Address QQ.Cts-�L Phone .7 `y et / %,..
Engineer o Address Phone
Contractor � Lt/YY%.‹ Address Phone
Legal Description of Property (Give complete descri tion from-deed,tax rete. etc 1
DESCRIPTION OF WORK: Ne
Size of Lot
Po x
Stori esD imensions
Rooms : & Baths y
(Full
,1u
Heat. System
Use of Bldg.
w • Addition
/3,
Basement fb..Cr Fo
. part, none) /84.2-t Type of Roofing
Remodel Moving Bldg. Zone / Fire Zone
Sewage System 3..f .er_S. �� Coust. mow_
p (Fr., Conc., Br., etc.)
14.d p aj,t1(-� ' Total Sq Ft Valuation .20 "el
undation Const &tr"'•c , Chimney Fireplace
�
(Kind) n (Number
7 5
Ext Finish /// Int Wall Finish &tt J
No of Units __Bedrooms
PLOT PLAN
Draw sketch wiih dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
m and water supply lines.
NORTH
I hereby certify
SOUTH •
witted is cor
or
Owner or Agent Date
A LAND SE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
ec
Plumbing Permit
pr Heating Permit
N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked U.
Plans Mailed
and there are no other structures located on this property except
Your -street address will
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
be y,/6,2,6— l=Zw.e/li1.QiLC`O �/>1---/Issued Bu ding Permit
Form 523 Bldg. Code