1973, 02-14 Permit App: K525 ResidenceCounty of Spokane, Washington
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. 45433 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 1s 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.
d0
APPLICANT FILL IN BELOW THIS LINE
Name of Owner ddress
sap -,'.e. 992x8
Phone 'V0-7 -4 z
Architect Phone Engineer Phone
Contractor
Legal Description Description of Property
Address Phone
(Give complete description from deed, tax receipt, etc. ),R).-1.470 11,x=w-7='-::,%D/
tCy / /3,4 kr 1 as, ,e
DESCRIPTION_ OF WORK: New ✓ Addition Remodel
Size of1 Kc3 k /Q i
Const , frt Dimensions-C.Ri'V� 1., - �."tc lnX
ireplace
Moving
(Frame, concrete, brick, etc.) j//`
Rooms --5- Baths/BasemenFoundation ConstayY v14' �./O Chimney
J//
(Full, part, none) ALL (Kind) (Nu ber)
Ty of Roofing_1.-�-Y4(�`v.. Ext. Finish / /.7Ahi Cf/ Int. Wall Finish iY 11r
�P Ty
1 No. of Units Bedrooms .2
Bldg. Eone / Fire Zone
Sewage System l%�.LL-f`i Stories ev
Total Sq Ft /A j S7 Valuation R's-+`dna�—
Heat. System
Use of Bldg. A.- i 61.ke r ��.
Garage or Carport Attached {)-i /I P_ (2,2AO/I..[',LfP-ti Private Uetctohed
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; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
e- Gtr t/-ILt,PJJL.
SOUTH
information submitted is correct and there are
State License No.
C� K
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit \\\\
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
Owner o - Agent / Date
TURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
A LAND USE OR STRU
THIS IS NOT A PERMIT.
Your street address will be Cf -Q ..3
1
Sewage Perm t Number/ Issued
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Remarks ipgc -IX4._ o-14?keyfes/
Building
ermit
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Receipt t',36/5- Issued
Form 523 Bldg. Cade
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