1973, 05-16 Permit App: K1670 Residence4
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE • OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 1/4-3C-0 -
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 tbestructure 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 Own
Architect
Contractor
Legal Dy-cription of Pro.erty (G ve complete description from ,__.d tax receipt, etc.)
ddress t� r L - - _ . Phone Atli rf -
gineer Phone
Address Phone
3 < <sla —cQx'0 /
DESCRIPT
Size of L //
C. / - vimensions
(Fra/', c%o ncrete, brick, etc.)
Ro s ,moi Baths _2_ Baseme
//� • (Full, par
Heat. System( ,Type
ON OF WORK: New ✓ Addition
Remodel
Moving
Sewage
6 .-vo).i22-rra�.a1- Total Sq Ft
undation Cons
one / Fire Zone
Stori
7 c Valuationr7
/70,6 J
Chimney Fir ace .0_
(Kind) S (Number)'
..ii. —Int Wall Finish
No. of Units Bedr.•4ms Q''
Private Detetched
Use of Bldg.
Garage' or Carport
tache( -/
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.
H
as
TH
App
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Fermi
Q7614./
.w Heating Permit
Sewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
nfo tion submitted is correct and there are no other structures located on this property except
Owner or rent Date
A LAND USE OR (STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT 4 PERMIT.
E;w724.6ctfrn 7214!4 6D DO NOT RITE ELOW THIS LINE
Tour street address will be G 03
Sewage Permit Number Issued _.
Remarks 642-2
,7
The zone i
Building Permi
Receipt
FAT'522jldg. Code
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