1974, 04-30 Permit App: K4419 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS L 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 •ork 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 thestructure 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
Architect Address
Engineer Address
Address
Contractor
L a Description o Iop ty (6iv complete des rption rom deed, tax rec
t d-% 3 — v C/ .2.-s;-GeCLGt/
tc.)
oc/ zi0t—k_
Phone
Phone
Phone
Phone
DESCRIPTION/O'F WORK: New Addition Remodel Moving Bldg. Zone Fire Z ne a -I
Size of Lot Y G }: ! '� 9 Sewage System st.
l / a �. _ r. < w __ 3 , i Fr., Co �r^ enc.)_ di.)
Stories Dimensions a� // (�c9-
�-
Rooms g Baths L( Basement tyFoundation Const �1F—�� �� Chimney Firepl ce -n7
�'K `()))j1Ful I. part, none �1 s,,, / (Kind) (Num�e/
Heat. SystenLliR.(� G • Type of Roofing t • Ext Finish t� /1 Int Wall Finish ��
g. fAA11" _ B
No of. Uni s _ Bedrooms
PLOT PLAN r-
mensions showing: (1) property lines; (2) street or road locat l'Ao4, (3) location of existing and
distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
nes.
SOUTH
5 ate L. se No,
Ina. Ina. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
1:0
• Sewage Permit 1
y
Plans Received
Plans Checked'
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify informati n submftt ^ orrect and there are no other structures located on this property except .
asIthowu.
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(57w -7,10,p. n // DO NOT WRITE BELOW THIS LINE 1 /
Your street address sill be to a � ,t S The zone 18 ° 7 9
Sewage Permit Number Issued Building Pe mit A" -WW/ Receipt_.11 - 71 Issued
Remarks WW / -"�7'L
Form 523 Bldg. Code