1972, 11-06 Permit App: K117 MHCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 992
APPLICATION FOR LAND USE OR STRUCTURE PERMITW
GENERAL REQUIREMENTS PERMIT FEE I
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 mast 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 tront 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.
//✓ ✓2 APPLICANT FILL IN BELOW THIS LINE if/At-4404 Name of Owner /FT/! / Address /14.20, t if/At- a 27' "..* Phone /40uu4
Architect /� Phone Engineer Phone
Contractor CQ. i2 Gctf Cy Address 7o4J9 �G!/f Phone ,�
kp' Lega escript ion of property(diveco lete de cripti n from deed, tax rece�etc)) LO /-' .� /7Oc,
y'-tioo GAS ¢//f. Joni lifr j(. �+.r. a' C- —
Moving Bldg. Zone Fire Zone 3
Sewage System Sr f7 C- Stories
Total Sq Ft 'TS /J Valuation --.5-1"00
I
0
DESCRIPTION OF WORK: New 1.. Addition
Size of Lot 7.3 /A 5 -
Const. Dimensions /O X.—Cr
(Frame, concrete, brick, etc.) AA//%�
Rooms 9' Baths Easement � Foundation Const ///oi- XS-- Chimney Fireplace
(Full, part, none) /1-/e-r-1/
+� (Kind) (Number)
Heat. System/Is-4'c Ty�y/g.of Roofing /t//f 1 / Ext Finish Int. Wall Finish �-7
Use of Bldg. /!/l%� R 1 tl 1a.J /j2�o4�/. No of Units T Bedrooms bac
Garage or Carport Attached Private Detatched
Remodel
1
PLOT PLAN
Draw sketch with 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
7I I hereby certi
/ as shown.
SOUTH
tion submitted is correct
Owner or Agent
A LAND USE OR STRUCTURE PERMIT`MUST BE ON THE PREMISES BEFORE
THIS IS NOT PERMIT.
Crn
DO NOT WRITE BELOW THIS LINE
Your street address will b,'i' 9 �f0G z-L47Z6ur -�
V,
y
Sta a se No.
In.. . Acct. No.
REQUIRED
Plumbing Permit - -
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except
777, ej 7771
Dat`
CONSTRUCTION COMMENCES.
The zone is
4 n<40,4) -
Sewage Permit Number Issued Building Permit Receipt C(.)/7 c Issued
//7
Remarks
Form 523 Bldg. Code
Z6- 2 T. eJ 2Joriwood Cas" 41;4_ 11011