1973, 10-09 Permit App: K3046 ResidenceI s
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 7<5-• CYO
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 supply must be approved by the County and 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 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 LINEto �)
Name of Owner wl/d /O C Address -So / "-' I ? tip - '/!,e phone
1
Architect Phone Engineer ' Phone
Contractor sfrhvt e Address Phone_
Legal rpgrscr ipt ipp of Property (Give cpmplee cg r;pt ion from deed,tax receipt,etc.) -hp7t 1(? (Iy_/Ii
(�',..:•, � 7 C y
DESCRIPTION OF WORK: New ✓Addition Remodel Moving Bldg. Zone / Fire Zone 3
Size of Lot7? 77X/1/ SK x /D3X L%,? prySewage System i G Stories /77---
Const C( ea k,t Dimensions vk X 6%
(Frame, con ete, brick, etc.)
Rooms Baths '2- Basement 5-6 Foundation Const
(Full, part, none)
Heat. System S A G(� Type of Roofing
UseofBldg. P4�fV 'EP(' �
n„,,,L,te
I 77%)C : t- 560 Total Sq Ft Valuation R / anti_
Chinmey[. .0 Fireplace
(Kind) - (Mumbler)
Int, Wall Finish n F7 LA14
No. of Units i Bedrooms 3
Garage or Carport Attached
Draw sketch with dim' sions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Ext. Finish 7- 1 - 1 1
PLOT PLAN
Private Detntehed
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
SOUTH
I hereby er 'fy irfo, ma on submitted is corr
as shown
and ere
State License No.
—o/-7703
Ind. Ins. Acct. No.
nn /nie REQUIRED
"rt y e Plumbing Permit .{--d— ML
m - Heating Permit /�A*r l
NSewage Permit vffaifie.k
ts
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
/0-
Owner or Agent
A LAND USE OR STRUCTURE' IT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number Issued
,��
Remarks tett
DO NOT WRITE BELOW THIS LINE
/336 i/`=, C47`e e
Date
CONSTRUCTION COMMENCES.
• e zone is
Building Permit c Receipt �.ued
Form 523 Bldg. Code