1973, 05-07 Permit App: K1550 Outside Entrye. •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT '.a0
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 47235.
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 C-#1.4-71--1-Ca/1-J _14Address ./...2.:20.5- (n' -"Lel./!
' 0 - Phone ra"-3 SS%
Architect Phone
Engineer Phone
Address - -'Pheone
Legal Description of Property (Give complete description from deed, Lax receipt, �/etc.) )32.../1-C(.E'O q.5'/�/ - el 2..5-5
her 7l /at . . f(.8
Contractor 5:
SOT C1,K 8 010
1
DESCRIPTION OF VIORK: New
Size of L t i( /6;e2
Const I-I'a/WIC_ Dimensions
(Frame, concrete, brick, etc.)
Rooms
Baths
Addition Remodel ), Moving Bldg. Zone / Fire Zone
Sewage System (' /I.dl%N 1 i Stories / Ou
Total Sq. Ft. Valuation 4OO
Basement Foundation ConstLA rcn-At Chimney — Fireplace
(Kind) (Number)
ish
Int. Wall
gl� t 'A. No. of Units Fini Bedrooms
(Full, part, none)
Heat. SystemType of Roofing Ex
Use of Bldg. (974/77,/,Z,
/Lt
Garage or Carport Attached
a u
PLOT PLAN
Private Detatehed
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
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
NSewage Permit
-1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify informati n submitted is correct and there are no other structures located on this property except
as hown.
// e 4 A P4/ , A.1 cd-- 7 7 `3
Owner( Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS I5 NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address .111 be (,.r,
Sewage Permit Number Issued Building Permit
The zone is
5 -Receipt c23& Issued
Remarks
Form 523
9
Code