1973, 07-03 Permit App: K2144 MHCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 9920
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 wby 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.
Name of Owner
lchitect
Atractor
Lega Description
A�A 9n7
APPLICANT FILL IN BELOW THIS LINE
ddress
Engineer /a. / Phone
Address
-.we'� .., .. one %l/� `-7'G�/C
,
o 27rty (Give complete description from deed, tax receipt, etc. ) ,11.s _ ��‘ i7
i'YLn--I�-O i O cg C' S' of _ lJ q it c
4144-eirrrtricwthone
44
OC
DESCRIPTION OF WORK: New G
Size of Lot 0 i k f I
Const.frAtiZg Dimensions o1- U
(Frame, cog Crete, brick, etc.) /y
Rooms (0 Baths 1 1/ Basement Foundation Const `--erl C �p
'(Full, part, none)
Heat. SystemType of Roofing
Use of B1dg{� e...,, /\w .cJ .�A _.C��
Garage or Carport Attached ( j
Addition Remodel
x 5 G
Moving Bldg. Zone / Fire Zone 2
Sewage Systenm, /, ErMiStories
Total Sq Ft / y_ Valuation f'Ad, OO
Ext Finish
Chimney Fireplace
2ictitc,_ '747e -
PLAN
(Kind) (Number)
Int. Wall Finish
No of Units Bedrooms
Private Detatched
Draw sketch with dimensions showing: (1) property lines; (2) street or 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-
m and water supply lines.
NORTH
I he . certify
' as sho
A LAND U
THIS IS NO
i.f. mati
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
wt Heating Permit
Ts
N Sewage Permit
y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
submitted is correct and there are no other structures located on this property except
Owner or Agent
OR STRUCTURE PERM
A PERMIT.
Your street address will be
Sewage Permit Number Issued
Remarks .1& -sed 7.itpP
Date
MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. H.
DO NOT WRITE BELOW THI
LINE
e zone
Building Permit .2,17 Receipt/ssued
Form 523 Bldg. Code
119 1-1.9
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