1974, 06-03 Permit App: K4790 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 9
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 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
Name of Owner .0 AtP aC,Y1S COM NgAddress
Architect ,,11
Contractor%�O B G/IX O,t/
Phone
Lega Description of Property (Give complete
x a /a?K v (4i4'
e2 -,2
DESCRIPTION OF WORK: New ` �V
g in
Addres
a 114 Dat-ate�cnp (MA,Phone aa`'S=(o3��'/
f��} �/ Phone
', /t!/97 4)0e1/4 99a/44Phone92v_7vC5
ipt, etc.)
PMtroa) o4 Se -a.27
de- ription from deed, tax re
.fjs ,t 1.
A .vim '/,9+
Addition Remodel
Size of Lot /00 -' /oR O
Const..' A -Mr`' Dimensions 1,/427
(Frame, co rete, brick, etc.)
Rooms �. Baths
Moving
a72-0
Bld . Zone Fire Zone
c sFNe
Sewage SystemS�h Stories /
Total Sq. Ft. a/ 98 Valuationtie7.c/
Basement ON Foundation Const. C n A/C p. /'ice Chimney /C_,tFireplace
n (Full, part, none) /I (Kind) (Number)
Heat. System G. % Q r Type of Roofing C 1k'P":c1 & Ext. Finish 4t�OCi 44-- et Jnt. Wall Finisi�Q9 11/4-e...
Use of Bldg. Si AiG
y A-1 / p cA) C F No. of Units / Bedrdoms LP
Garage or Carport Attached 1.1C )
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locat ns; (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.
Private Detatched
NORTH
I her
as sh+ n.
SOUTH
tionn submitted
is correct and there are
ftii)
en
N
H
no other
State License No.
0723-0/ /.5- 6,2
Ind. Ins. Acct. No.
/e-/9-744
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
nits IS NOTA PERMIT.
(9 AA-- ?41/21 DO NOT WRI ELOW THIS LINE
Your street address will be
Sewage Permit Number- Issued
Remarks
Bu
lding Permit
e zone is
Receipt(g22.
Form 523 Bldg. Code