1975, 02-25 Permit App: K6776 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.
-.-t
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 LINE
Name of Owner (i{%?/ // S 1' ra r. Address/.,2/9.27 £- 05-P004actr- Phone g2 -?3TC7
Architect Address Phone
Engineer Address Phone
Contractor c./9/14 Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc )
L'— i.3 !_= x c t'="07 wt 771 /vztSr1 Avz y f.'.r7— 777V4,W4€7,,,, .47- A-0 JOT /"
,ExC Pr i%`Z —Vey, ae/ r :2447 -fir Aer- ' i(' Meek _� //iI(ClekrC
Ac X26 c / 121'7— Al, 2), 7 ir> fA-2cl- L 2_7 — .2J37
DESCRIPTION OF WORK: New x Addition
Size of Lot A.7 -C2 r K %•-s^
�- 0
Remodel Moving Bldg. Zone
Fire Zone
Sewage System .4sP72C oust. F'e%74-14
(Fr., Con Br., etc.)
Stories/ !bimensions (7c ),-.. 24, J. X4 Co —74Xaco Total Sq. Ft r e2/U Valuation /- _
Rooms 7 Baths part, asementone) Foundation Const �'c vc. �r. Chimney IK d fireplace(Numb re
Heat. System FAL /LC- Type of Roofing Sp-s-Ao1‹-r _ Ext. Finish T /—// Int. Wall Finish .D.Qyz-WlL
No. of Units _Bedrooms y
Use of Bldg. /\' S/0i/c
64/2//c.c.,
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;"T5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines. `
NORTH
ITV
SOUTH
m
a
State License No.
a!_ /
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit t/L'/7--- /)
Heating Permit C/A'/ 7 i)
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereb ertify in rmation submitte's correct and there are no other structures located on this property except
as shown. —
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
�t..) 4 DO NOT/WRITE BELOW THIS LINE
Your street address will b- • /
Sewage Permit Number Issued
Remarks
�. The zone is
Building Permit lS" 1,7,7 Receipt
Issued
Form 523 Bldg. Code