1973, 05-16 Permit App: K1669 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT �rtr
G'E:N;E.RAL REQUIREMENTS PERMIT FEE .3G
1•r_ r. •
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 onvater connections disturbs
the;jsurface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE2SYSTEM. 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 w th the land
which are. enforceable through civil action. County Officials can not bring action to enforce covenants or d$dications.
Name of Owne
Architect
Contractor
APPLICANT FILL IN BELOW THIS LINE 27.70 / O�
Phone
Phone Phone
Address Phone
on of Pr perty (Give complete descripion ,', deed, tax receipt, etc.) aat.5"SCa -__Za O/
dee, S—L
DESCRIPTION OF WORK: New ✓ Addition
Size of Lp /O -Q X /0
Const' L t , _ wimensions
(Fra oncrete, brick, etc.)
Roo Baths Basem
(Full, part/ji
Type!!/ of Roofing
Heat. System
Use of Bldg
Garage or Carport All
dro
/ Remodel
..rca.76
shed
one)
n
on Const
law
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
-1
Moving - . e. Zone 1 Fire Zone C.?
Sewage Syst:5� ✓i _ Sto ' s
j224ntal Sq Ft. = Valuati 7
-470 (..1,-.-,_ Chimneyy Ft ace
(Kind) (Number)
Finish
Int. Wall Finish
No. of Units Bedr ms V
Private Detatched
_! .40
Ext. F
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
.. 1 -
i
NORTH o,y
SOUTH
State License No.
Ind. Ins. Acct. No.
Plumbing Permi
Heating Permit
NSewage Permit
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
cert' tnfocJa6iion submitted is correct and there are no other structures located on this property except
.as shown.
S- /(- 73•
I hereb
Owner or Agent
Date
A LAND SE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
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Your street address will be
Sewage Permit Number Issued
Remarks �1
DO NOS WRIT BELOW THIS LINE
e zone 1s
Building Permit (OU/ / / (� Receipt agilIssued
S23 Bldg. Code
HEALTH DIST.
APR 2 0 1973 '
.'.ENVHEALTH
.
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F.H. A. APPROVAL ONLY
SPO. CO. HEALTH Digit},
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10/17(7.70-o_071y/iv_:_F76CASr-
52
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