1973, 10-29 Permit App: K3163 Addition•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT //
GENERAL REQUIREMENTS PERMIT FEE...ly
PERMIT REQUIRED. A land use or structure permit 1s 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 most conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. 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.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a
least 25' is required, a 5' side yard, 15' side yard from a flanking street,
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be
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.
45-133 and 47.235.
set -back from the front property line, of at
and a 25' rear yard are required.
obtained pertaining to set -back and ingress
APPLICANT FILL 111 BELOW THIS LINE
uJ 6
phonejW,—J Y
Phone
Phone �6 /
—45/7b
73, s/j
Name of Owner ddress
Architect Pho a Engineer
Contractor e(1/7ft;/l ppfgv' ry&s
Legal Description of Propertyve compl•te desc iption from eed,
Address
tax receipt, etc.)
DESCRIPTION vrO��F33WO K: New Addition 1 -------Remodel
Size of Lot, /.J. 511. cAp,
Const /"-c1 YJ1 t, Dimensions
(Frame, concrete, brick, etc.)
Rooms tz Baths Basement Foundation Const
(Full, part, none)
Heat. System Type of Roofing
Moving
Use of Bldg.
Sewage System
Total Sq. Ft. <23e
B1d . Zone
Fire Zone 3
tories
Valuation
(1,0 11 r k- ic 74-iC Chimney Fireplace
(Kind) (Number)
xt inish Int. Wall Finish
o. of Units L Bedrooms
Garage or Carport Attached
Draw sketch with dimensions showing: (1)
oposed buildings; (4) distance to property
tem and water supply lines.
m
N
Private Detatched
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-
SOUTH
I hereby cerj)ify insubmitted is correct and
as shown.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
kit
State License No.
:e0? -3"-e)/ —‘7/I7
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
/' -z9.2T
Your street address will
Le Permit Number Issued
T W3ITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
t8
e zone is
Receipt