1973, 03-23 Permit App: K933 Residence1(11
4111
County of Spokane, Washington O 'zs'' /, --9 z_
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT %
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 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 tront 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 ownerS'=.— —' '%�� �_. _ — ddress
Architect - - - Phone Engineer
Contractor
Q S-y43.01Ve•••� s-•
Legal Description of Property (Giveco�lete/ descript/on from deed, taxreceipt, etc.)4 6.„.47
0 r
p2p-h!
Address
one 97/1
Phone
Phone
DESCRIPTION OF WORK: N
Size of L h._ 5
Const.
(Fram
Rooms
Addition
Remodel Moving
Dimensions
concrete, brick, etc.) r r
YBaths 4 Basement lip Foundation Const
(Full, part, atne)
of Roofing
c�am,
a�T-r
Heat System / Type
Use of Bldg. .6.,t
Garage or Carport Attached
Bldg. Zone
Sewage System /Pa
Total Sq Ft / Sr a Valuation
Fireplace y�
(Number)
Fire Zone
Stories
afr/7 r-.0(R`iChimney
T (Kind)
Ext. Finish Mine ay fA F.Int. Wall Finish
No. of Units _ Bedro
��-A+ y� Private Detolrhed
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of•exist ing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys
tem and water supply lines.
State Linens No.
Ind. Ins. Acct. No.
REQUIRED f/%J��
Plumbing Permit s�y��2i"' ' "—
-
w Heating Permit • 9'
-n
Sewage Permit
H
Plans Received
Plans Checked
Plans Returned
Plans Picked'Up
Plans Mailed •
as
by certify
mitted is correct and there are
no
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT UST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Property except
DO NOT WRITE BELOW THIS LINE
Your street address will be J� 2 '• g
Sewage Permit Number Issued
Remarks N 2 -Lek 0 oil 7711./. Z
lding Permit /i"C, j
e zone is
Receipt
Form 523 Bldg. Code