1973, 04-12 Permit App: K1310 Renew J25961110
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, 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
SX�..��' d�-sc,-u� �1 y �2 i 3
Name of Owner/. %,) e- ,-.c;"; e, - Address •-3 �I
-�' Phone �A-7J/7/D
Architect Phone Engineer Phone„�-
, I �-
Contractor Address Phone �� W A-E-- 78;)
Legal Descriptio , of Property ( ive complete description from deed, tax receipt, etc. ),P4,11 -(,t.1 .2/,_5--/.3 _r�i //
DESCRIPTION(/' WORK: New
Size of Lgf
Const /4-Gl-i t( . Dimensions / FlX 3t- — 2 X 7d'
(Frame, concrete, brick, etc.) Q ,
Baths BasementFoundation Const
(Full, part, none)
Iver Q FA • Type of Roofing �_.A—YLt _
c„2e tic fTl 4.59
Addition
5vv$ SW
Remo 1
Moving
Rooms
Heat. System
Use of Bldg.
Bldg. Zone ____L— Fire Zone
Sewage System Stories
Total Sq. Ft /$,> Valuation
Chimney fireplace /
(Kind) (Number)
Ext Finish % / / 1 Int. Wall Finish
No. of Units Bedroo s �—
Garage or Carport Attached
Private Detached
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
I here
as shown.
ifyfinformatio
Own r or Agent
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
4/1 Sewage Permit
1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
5rrect and here are no other structures
located on this property except
Date
A LAND USE OR S UCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PER IT.
DO NOT WRITE BELOW THIS LINE
Your street address will be A L'- ;Th' r�v,-L. The zone
Sewage Permit Number Issued Building Permit ,9//,?/0 Receipt
Remarks
is 6(-¢7(-L--cc G„t-7”'
Issued
Form 523 Bldg. Code
44