1973, 01-25 Permit App: K414 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 3/ '
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 mast 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 _&ttZP4" ,y;l -415 Address /1)'t3 F yicw rte Phone//.a` Cl2
Architect w' t— Phone Engineer Phone
Contractor /. L Fkiiif Address Phone
Leal Description of Property (Give complete description from deed, tax receipt, etc.)
i/rJ.�r�ZwL`
DESCRIPTION OF WORK: New rl Addition Remodel Moving Bldg. Zone / Fire Zone 3
0.1,75'u(1 -/.ro7
Size of Lot ft7/2.1—
Const. /Ytor.e_ Dimensions •' S'X y/ y f-Afa .f, .m Az / Total Sq Ft nen Valuation 22 o -i',
(Frame, concrete, brick, etc.) q
Rooms 7 Baths 2 />
Basement .LL Foundation Const. Ott/fin •-/o - Chimney Fireplace
(Full, part, none) ,7 (Kind) (Number)
Heat. System £4' f A Type of Roofing "p'.ur Ext Finish r / ^// Int Wall Finish /24, -Yeo L/'
Use of Bldg. /ref der snit // COW,
_ / No of Units j Bedrooms _ 9
Garage or Carport Attached v6% d»ic /'2 �( O(//1 / o J
t
.•' • 1 Private Detalched
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.
Sewage System S'p .4-7; Stories /
NORTH
I hereby
as shown.
� Owner Agent Date
A LAND US�-OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
' State License No.
,7a Z 6 / neer,
Ind. Ins. Acct. o.
REQUIRED -
Plumbing Permit S iL..
Ce
rn Heating Permit t ii /;.Ce
Sewage Permit ' Z/le.*
N
Plans Received
Plans Checked
Plans Returned -
Plans Picked Up
Plans Mailed
SOUTH
on submtt is correct and there are no other structures located on this property except
DO NOT WRITE BELOW THIS LINE
Tour street
Sewage Perm
Remarks
address will be it / 3 2 e.1 Cat/V4» /.4i,, Jt''
Number Issued > Building Permi
ej! .11
The zone is
Receipt 6,1(1 b Issued
Form 523 Bldg. Code