1975, 02-19 Permit App: K6749 Residence• -
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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 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 . „/ �%� .se 'C _ _ Address
Architect 1 Address
Engineer
Contract
Legal Description of Property (Give compl
Address
Address
p,-,2 a
•e-e-'>--e-Phone
23
Phone
Phone
Phone
e description from deed, tax receipt, etc )
7 <
C-/ . �(. .-1
DESCRIPTION OF WORK: New ✓ Addition Remo
Size of Lot
Sof iiees_LDimensions c:›P� Y' �3
Rims a2 Baths / /Baseme
(Full, part,
Type of Roof in
Heat. System
Use of Bldg.
Moving
Bldg. Zone •
Sewage System -.42,6q2 -'e --'Const
(Fr.
Total Sq. Ft 1:a41,;,../ Valu o
K�
Chimney Fireplace
(Kind)
/Fire Zone
Foundation Const
,/rg1'xt. Finis
Number
Int. Wall Finish
No. of Units _a Bedrooms` -
t
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
to
NORTH
PLOT PLAN
property lines; (2) street or road locations, (3) location of existing and
lines a'id streets; (5) dimensions of buil. ..s; (6) location of sewage sys-
71se_ '_.
State License No.
c„)_c) --— i 7y�3
Ind. Ins. Acct. No.
/-/2-7y
SOUTH
hereby rtif 'formation submitted is corre
asn. / j i
/ 4./
m
a
N
REQUIRED
Plumbing Permit,/
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
t and there are no other structures located on this property except
Owner or Agent
LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS I
Za a0 NOT WRITE : ELOW THIS LINE
eze- . The zone is
Building Permit ,� ;'- Receipt ?Z.- k(
Ibur street a -b
Sewage Permit Number
Remarks
Issued
Date
CONSTRUCTION COMMENCES.
Form 523 Bldg. Code
EL, 77L
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