1973, 02-05 Permit App: K492 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE...it:li d
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 LI E
Name of Owner LI._P_____,Y__ __ Address . //" 03
Architect Phone Engineer / Phone
Contractor Scf rvre Address
Phone
Phoned 6 Ejs:2/
Legal Description of Property (Give complete description from deed,
'crPa4A a v Y,/-[re7
a-ls�g
DESCRIPTION OF WORK: New Addition
Size of Lot trit.0 kZ S`
Remodel
tax receipt, etc.) St Lf n20"c},(Z,T 7 4-
Const. aezt die Dimensions 4'O K ,2 S -I- ,,x /Sere
(Frame, concrete, brick, etc.)
Rooms—C Baths ._ Basement 4 44 Foundation Const
(Full, part, none)
Heat. System E'130 Type of Roofing
Use of Bldg. feel < PXrP_
Garage or Carport Attached Oi''1/b/e tLtr
✓✓
(etJ!•/ er4i
4t
en(
!n /f/CI Ear os
Cie.0 e s 3 L'1/442,017
Moving Bldg. Zone Fire Zone3
Sewage System Stories /. .9 /'
WS/ Total Sq Ft /972 Valuation 025`dd0
(Ids n n. 0/P_
Ext Finish
Draw sketch with dimensions showing: (1)
posed buildings; (4) distance to property
m and water supply lines.
p
A! ,
as
)
NORTH
Chimney -- • Fireplace
(Kind) - (Number)
Int, Wall Finish /7py n,,. LC
No of Units f Bedrooms V
Private Detai shed
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys
State License No.
a3 -at -9v/3
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit42,-;:er
m Heating Permit /J'.t,/a!(r; fit' P
Sewage Permit 40A1 Zit t.e .
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Pians Mailed
SOU TH
I hereby ify info "on submitted is correct and there are no other structures located on this property except
shown.
a--Tpe`�J�pz,e oz'� ('I 3— /97
ner odd�//AAAgent Date
A LAND USE O STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address w111 be
Sewage Perm Number -p-� Issued —
Remarks / 1.(d-fvt.2.iX -17)726,iip,(QJ'
Building Permit
e zone is
f ;Receipt
G2
Form 523 Bldg. Code
;L
A
I/Z=., L/ 2e e'11/"/N-
/
/
Iffy"
,C
/'32
521e
ly
.-2
iG K 1'a
ycC i./<
/L: Fie/.
RCC Le/ O r//
1"
1�
j+c K�f'
1