1973, 03-09 Permit App: K758 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
IT 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 arid 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.
RESTRICTIVE1COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are e forceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IH BELOW THIS LINE
Name of Owner -''r
Architect sarne
Contractor same
ddress "IT
phone 926—'3666
Phone Engineer Phone
Address
Phone
Legal Description of Property (Give complete description from deed, tax receij,t, etc.
'?31:- it 2
Lot 3. 131k L Caatl
11
DESCRIPTION OF WORK: New ,X, Addition Remodel Moving
Size of Lot 8 ri. x i 2 5 Sewage System sewer
Const. fradd Dimensions 2,C, 3f. 2.11 ÷ 26 X 24 + 2h ,c 2b, Total Sq. Ft. 224o
(Frame, concrete, brick, etc.)
Rooms 6 Baths 2 Basement Part Foundation Const. c:011 r -rete
Bldg. Zone
Stories
(Full, part, none)
Heat Systesin F A G Type of Roofing sbalie Ext. Finish
Use of Bldg. sa,ngle rzamid:\r resIdence
Garage or Calvert Attached tiZe attacilled
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Fire Zone :3
Valuation 214 000
Chimney ria Fireplace 1
(Kind) (Number)
T—TTT Int. Wall Finish sheet rook
No. of Units 1 Bedrooms 5
Private Detatched
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
Attached
SOUTH
I hereby certify information submitted is
as shown. .
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
▪ Heating Permit
• Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
orrect and there are no other structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 15 itcrr A PERMIT,
riAti.;14, -
Your street address will be 3f
NOT WRIT
Sewage Permit Number Issued
Remarks
ELOW THIS LINE
15
Building Permit Y,,;1( Reecw7
7
Feral 523 'Bldg. Code
So yr