1973, 11-27 Permit App: K3337 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 4,
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
tie 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 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
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Name of Own — ✓ric E' f/ )4 c _Address 9,77e 5 C /H�'17I Phone 9+K4 - e<
Architect. i'vJ/L-2. Phone Engineer Phone
Contractor Address Phone
Legal Description of Property (Give compete description from. d,, tax r eipt etc
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DESCRIPTION OF WORK: New X Addition Remodel Moving Bld
Size of Lot /6",g 'X =-3,_;2e1 / Sewage System
Const /-7-771401-e- Dimensions 4 X %6 Total Sq. Ft ,
(Frame, concrete, brick, etc.) -/�
Rooms AK Baths c2_ Basement Jr/Foundation Const `,�IyfG- -
(Full, part, one)
Heat. System C-, Type of Roofing L {% Ext Finish
Use of Bldg. fqt')//7 fes. /
Garage or Carport Attached
Zone
Fire Zone
Stories /
Valuation ,2g 0
5
Chimney Fireplace 2 --
(Kind) (Number)
Int Wall Finish !1 .2i''d/
No. of Units Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or
proposed buildings; (4) distance to property lines and streets; (5) dimens
tem and water supply lines.
m
NORTH
Private Detatched
1
oad'locations; (3) location of existing and
ons of buildings; (6) location of sewage sys-
I here
as shown.
fy infor
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Owner or Agent Date
.LAND USE OR STRUCTU ERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. f
IS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
SOUTH
Plumbing Permit
n+ Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ubmitted is correct and there are no other structures located on this property except
►
Your street address will be 5a/V'/ _ .e zone is
Sewage Permit Number 4 Issued i Building Permit 333/7 Receipt:IR / Issued
Remarks , r l
Form 523 Bldg. Code
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