1975, 03-18 Permit App: K6999 MHCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 AD
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
kind or alter any building or structure already erected, or to change a land use. Construction most •conform with
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.
any
the
APPLICANT FILL IN BELOW THIS LINE
Name of Owner a // , 4 1 4,, i . /11.1.411111 Address
Architect Address
Engineer��ll Address
tr
Conactor 1C1_4AM1 Address
49.206,
Phone 9 -86 S'S
Phone
Phone
Phone
J)A4-C,ezt ,,anS /-//9S
Legal Description of Property (Give complete description from deed, tax receipt etc 1
LOTS a.S' TMR[),RO 13A./('G, .EXC, t/1WM0/
DESCRIPTION OF WORK: New Addition Remodel Moving Bld Zone —� Fire Zone
Sip of Lot � 9O Sewage System
/� X to D
LW Ft 7 Valuation 44
Foundation
DD —
Foundation Const l.,Ci,�e. �-O Chimney — Fireplace
r
Stories Dimensions �/
Rooms BathsCt/1/ (Full, part none)
Heat. System 1- XO,I' ,(-/{• Tyof Roofing
Use of Bldg.-!��[n�(�iY(O6C..(�/(.i.X.4-nit
!Qr.& osta-
�Fa>f., Conc., Br., etc.)
DD
L4Y
Ext FinishP
Q.4 O�dL.C.I
jai (Kind) parer
Int Wall Finish
1ZG�iNo of Units Bedrooms Q,
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
•
•
PLOT PLAN 4.1:41-4/.
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
14
0
Q Plumbing Permit
tit h 1-14 S 3 w Heating Permit
cif?)K to Sewage Permit
o
&Zti
c. "
�(1State License No.
Ind. Ins. Acct. No.
REQUIRED
64
1/5
I he
as shown
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed C -
s correct and there are no other structures located on this property except
ner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Bfoi yyq, ,Q T3 DO NOT
FF WRITE BELOW THIS LINE pp ��jj
Your street address will be icy' 73./ C�CZ.f..R._1ae1'r The zone is4ftfd 11/cit-4-11
Sewage Permit Number Issued Building Permit Receipt 9 Y/'/ Issued
Remarks
Form 523 Bldg. Code