1973, 01-25 Permit App: K410 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE Cel
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 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
Name of Owner
Architect
Contractor
ddress
Phone Engineer
Legal Description of Property (Give plete
Phone
Phone
Address Phone
description fronydied, 4c/receipt e
DESCRIPTION OF
Size of Lot
Const.
(Frame, c trete brick,
4`B
ORK: ew
Addition
rL -' - —Dimensions
etc.)
aths / Basement
Remodel
Moving
Bldg. Zone ( Fire Zo
oo11ww ewage System SE��.z� Stories
9e1-4 Total Sq. Ft �1 Valuation
lu11, part, none)
Heat. System,'! Type Roofing
Foundation Const
Use of Bldg.
aG rage�r Carpor
`? *I C Chimney �'1t- 4F'ireplace -
,/ (Kind) r% ( �ufmber,/�
Ext Finish W Int. Wall Finish I-1
- 'j� K' `J
No. of Units Bedrooms
Private
Private Detatched
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.
NORTH
SOUTH
I hereby c :'fy information sbmj.tte
as shown.
Owner or Agent
State License No.
Ind. Ins. Acc'r No.
Plumbing Fermi
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
l
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
DO NOT WRITE BELOW THIS LINE
% c The zone is
Sewage Permit Number Issued Building Permit Receipt
D -C.- 4
Remarks
ued
form 523 Bldg. Code
LI Tel
U►'"`, itoglohl
BUY A " FAMILY HOME _.-. _.
DARRELL. G. CONDRON, BULLDE
BOX 7827
SPOKANE, WASHINGTON 9910
d
' - 3 --
0///rdImo ly . JI G-� &,14 A"Q`'a
bra c7 _ . 35J"`l��- /o'1/f''
e.