1973, 08-01 Permit App: K2393 Residence•
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMITI'
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 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
792/
Name of Owner
Architect
Contractor
27,1, -:Description of Property (Give
Ci/�t�-v �e/Lz-emcz.F
ii-ee-7-a_u-3-.e-,( Address 2I/07- `- *' •Phonrc,z-,6 6s12-3
Phone .Engineer
Address
Phone
Phone
complete description from deed, tax receipt, etc.) ,5 iC.'3-UA 9
DESCRIPTION OF WORK: New _Addition Remodel Moving Bld
/ % X / 2 .S Sewage System
Co�1�Mt Dimensions 6'20" 'ly Total Sq Ft.
oncrete, brick etc. )
Size of Lot
5_(- Baths :.•ment Foundation Const
`- 1, part, none)
—, Typeof Roofing
Garage or Carport Attached
Heat. Syste
Use of Bldg.
A"--�
Zone ' / Fire Zone
dt_ Sts / -.-1/4.aluatio? 2) 1- /CG
Fire, ' ce
(Number '
Bedrooms s
Chimney
`/ //�� (Kind)
Ext. Finish 4 �-" Int. Wall Finish
No. of Units
Private Detatched
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
—NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines a*.d streets; (5) dimensions of buildings; (6) location of sewage sys-
N
SOUTH
I hereby cerci formation su itted is correct and there are no other structures located on this property except
as shown.
Own or Agent Date
A LAND USE OR ST CTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
State Lice
Ind. Ins. Acct. No.
REQUIRED
sr�L
Plumbing Permit
vc/
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
cin,e fi3 DO NOT WRITE BELOW THIS LINE /p
The zone ls, j ,CJS ,%:
uilding Permit _ Receipt '3 /3 -/issued
Your street address w111 be 2 - ! O 2 -
Sewage Permit Number Issued
Remarks
Form 523 Bldg. Code