1973, 04-19 Permit App: K1332 Residence0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMITa
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.
Name of Owner
Architect,,/�
Contractor �(,(/V!/L�-��yi'�(
Legal Description of Property
4,6T! IRLk—q
APPLICANT FILL IN BELOW THIS LINE
Address
A -c -k - 6
Phone .2.c -472-9
Phone Engineer Phone
„p -n(0 -t) Address nn Phone �L
(Give c mplete description om deed,p tax receipt, etc. /.1/-(t/ /1951/ — e 9S&.
F4.uJ ,a v&cL @tee_
DESCRIPTION OF WORK: N,w ii Addi
Size of4pt 2;6, X /76
constla-4,-"via - Dimensions
(Frame, concrete, brick, etc.) ��
Rooms G, Baths Q Basement,l. it
(Full, part, none)
Heat. System /V 04FA. Typ
Use of Bldg. ...ei-f-4/4, ZL..L/
Garage or Carport Attached
tion
Remodel
70 XR$
/,.E Su ,ah'
®
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.
Moving BldQ Zone / Fire Zone >9
Sewage System,d tilioriC* Stories /
Total Sq Ft ./193A- Valuationlon30000°—
/
Chimney Fireplace
(Kind) (Number)
Int. Wall Finish
No. of Units Bedrooms
Foundationn Const��1 ./ii -tie/
sL t�C/il'CC Ext Finish 134-4--C-4--
>f Roofing
iiiret.s
((71-
PLOT PLAN
Private Detatched
N
-1
NORTH
a,e e_ axta_daek Rex ., ge ti
!
I RACE
4i>S
l
40
a.5t
as 'Kilo
SOUTH
on su6tted is correct and there are no other structures located on this property except
*-/9-73
Date
PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
26'
ctz
State License No.
OK
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Owner or
ND USE OR STRUCT
IS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be /2 20.22 C
Sewage Permit Number Issuedd�/�
Remarks endrei,Le,� d- cf714 4,
e zone 1s
Building Permit/ 3/ Receipt -zit ' Issued
ALA
Form 523 Bldg. Code