1973, 04-19 Permit App: K1424 Residence411
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
1?a.
APPLICATION FOR LAND USE OR STRUCTURE PERMIT #6
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 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 Highways; 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
(7.Cf 4/Ce _ G `f Z42
Name of OwnerT Address �=L/6—_ q�('
�J�� , Phone
Phone Engineer Phone
Architect
Contractor
4(/L?.T.ei
of Property (Give complete
N, / 3s '
Al is /3S
Legal Descriptio
S,[p�"'
Address
escription ,from
er//
//7_
DESCRIPTION OF WORK: New.
Size of p?t)‹ /'Q
Const 44a Dimensions
(Frame, concrete brick etc.)
Rooms
N Addition
Phone
deed, tax receipt, etc.) ,eee_g,(plj6.5-1•13--21,5
*a /4.
Remodel
Moving Bldg. Zon-ey % Fire Zone -1Sewage System ,QO.4QA.— / Stories
Total Sq. Ft. Valuation /�St1d`i
Baths _L____Basement Foundation Const
(Full, part, none) ,I
of Roofing e..2e---1,1-I1' Ext Finish ..-W2di
II
PLOT PLAN
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-
tem and water supply lines.
Fieat. System FA • Ty
Use of Bldg.
Garage or Carport Attached
Chimney Fireplace %
(Kind) A (Numb/er)
Int. Wall Finish
No. of Units Bedrooms
Private Detatched
m
U1
NORTH
SOUTH
I hereby ceriify information submitted
as, shot
Owner or Agent
is correct and
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received ✓
Plans Checked
Plans Returned y/
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
,4 -/tel -7
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON ,THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
�3)-I I DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
Building Permit
The zone 1
Receipt :4_)/g Issued
Form 523 Bldg. Code