1973, 03-06 Permit App: K723 Residence• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
.0
Y. 4
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 ®b'fgrce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner 4iWAGFktIV/ /YMCA Address i V % P,Crer r99.2c6c Phone 5 v2-20
Architect cf Phone Engineer Phone
Contractor Sri Address / Phone
/{
Legal Description of Property (Give complete description from deed, tax receipt, etc.) 6f 2 •E'40 k' p'
2935'Y. -/ye? N.aai.nstAver- 2—
DESCRIPTION OF WORK: New i-°-- Addition Remodel Moving Bldg. Zone
Size of Lot /052( J p Sewage System ,Sri
Const. %st /7 ar( Dimensions et: .SC taxi' f- ..}"DO /w/ hese Total Sq Ft. jaw o Valuation on; oc%p
(Frame, concrete, Trick, etc.)
l
Fire Zone 3
Stories /KJ rE-
Rooms�� Baths .".2_ Basement FUC< Foundation Const
(Full, part, none)
Heat. System FA rocs Type of Roofing a „iv •
Use of Bldg. %gyp s a ur,eo•
,ff / /
Garage or Carport Attached 41 ,,4/2 L2i/‘16. 4errej
r.
at*fi F_4,_ Chimney Fireplace
(Kind) - (Number)_
Ext. Finish r/ // Int. Wall Finish hdry w -a
No. of Units / Bedrooms 1
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2), street or
proposed buildings; (4) distance to property lines and streets; (5) dimens
tem and water supply lines.
NORTH
Private Detatched
road locations; (3) location of existing and
ons of buildings; (6) location of sewage sys-
I he
as shown.
ertify- 1
J ..
Owner
SOUTH
tion submi ted is correct
and there are
State License No.
.7.23 01 gvi3
Ind. Ins. Acct. No.
REQUIRED
icer
Plumbing Permit
Heating Permit et s- %l(
Sewage Permit 14/0//61,
Plans'Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located
on this property except
r Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
Building Permit
e zone is
71,3 Receipt
sre/
Issued
Forrn 523 Bldg. Coda