1973, 10-09 Permit App: K3051 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE. WASHINGTON 99201
APPLICATION FOR .LAND USE OR STRUCTURE PERMIT '6°
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 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 au 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
Architect e�
Contractor S-81-7"--e—
Leg 1 scr'pt'on of Proper
�� Phone
(Give complete d
7V
Address
Engineer
Address
cription from d
6
7r 225< -75/3. v- /Sig
DESCRIPTIOcN OF WORK: New r�Additfon
Size of //QSS�
Const, i(.E 3_ ( Dimensions 66' X 7 2 -1- 1('', 1- 5-00
(Frame, co rete, brick, etc.) J y� 2 �j
Rooms Baths 3 D Basement Foundation Const
tax r; ce pt, etc.)
Phone 9'ar V7 Pa
Phone
Phone
Remodel
Moving Bldg. Zon
Sewage System
Total Sq Ft
(Full, part, none) n
Heat. System DC Type of Roofing 0 0 i"^ -/d
Use of Bldg.f ' P s icx
Garage or Carport Attached ena
Chimney
Fire Zone
Valuation o i6/®0
Stories
Fireplace
—F— (Kind) (Number
Ext. Finish1— — Int. Wall Finish ,Dtyw 4
No. of Units / Bedrooms_
Private Detatche d „/y'ed
GA P_A
OT 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.
NORTH
/0 r
�3r
601
gRge
U o'a f
T
/6 '
4
x-25
/
SOUTH
a
H
State License No.
-22-3 4) 1 `140
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit Lam— L
Heating Permit Qtti; )ttle RS t- LC Et—
Sewage Permit to 4- I ke 2
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby c - tify ;nfotion submitted is torr-- and there are no other structures located on this property except
as sh
Owner or 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 j:331/ (9L»t r,' -c
Sewage Permi Number Issued
Remarks / ..22.6-1 t-e.00ff-x) 7n
e zone is �-
Building Permit 20 Receipt . Issued
Form 523 Bldg. Code