1973, 03-17 Permit App: K818 Residencet
County of Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT,
GENERAL REQUIREMENTS PERMIT FEE 42%
PERMIT REQUIRED. A land use or structure permit is required byCounty 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 supplymustbe approved by the County end State Health Departments. Where work onwater 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 thestructure 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 1s 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 772-o co
Name of Owner LTOL FL An) D / t5C Address 1 ( ? S. P I A) Es 9f1fl Phone 7a %- 9aa'n
Architect ,f Phone .Engineer Phone
Contractor ¢4.(._ Address - Phone
Legal Descript on of Property (Give complete description from deed, tax receipt, etc.) Ler 1I Rc.oc X it>
7751/ Y- /57/
NlLLC(tCST ACrtGS a&?
(k)
DESCRIPTION OF WORK: New ✓ Addition Remodel
Size of Lot 81 r . f as-'
3 8 Vag t :(a d Y' Total Sq Ft 1 8b y Valuation e_d—a
Rooms y Baths 2 Basementf. Foundation Const C' o Joey y.'1 Fc•r
(Full, part, none) .
Heat. System F. A FAS Type of Roofing
Use of Bldg. R ES IDEiseE
Garage or Carport Attached iYe-APC.
Const. rt./At-it Dimensions
(Frame, concrete, brick, etc.)
Moving Bldg. Zone ! Fire Zone `�
Sewage System Seri( (', Stories •
Ext. Finish T - 0/
I
Chimney Fireplace
(Kind) (Number)
Int. Wall Finish A4`?VA4 LL
No. of Units / Bedrooms
Private Detutched
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.
Ctt</;4,z. DkI>'Q
I hereby c• tffy information submitted is correct and there are
as shown.
f
State License No.
aa3 ci 9Yv,3
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit A4
Heating Permit" A 4 AA
Sewage Permit '--Se4kKE:L
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
Owner ..' Agent Date
A LAND US • R STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT .4 PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued Building Permit
Remarks F�nTh1R..t fl<J "i 414
/3a.a3
r Gs ter H RIC
The zone is e' d(
Receipt4c51 Issued
Form 523 Bldg. Code