1974, 02-19 Permit App: K3653 Demo 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. 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
and egress.
ingress
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 OwnerCr..�% W s Address E762 7 JCo1 c +l,r7/IA-
Architect Phone _Engineer Phone
Contractor ._ $ 0yAN: — Address - Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) 'a L3S 3 / - /G/ Si
led 71, Rloe2./roma tach:Aiec4 A.1,l�*-/ei •
Phone 093-3/?/
X Dee/al a+,1 of to L- 4J 'z
DESCRIPTION OF� yWORK: New Addition Addition
/ " I( Zi r/ g y
wage System gar */ Start
:9f
Fre7l11e Dimensions JZ f y'29974"- g' X AS. 7`11ArTotal Sq Ft SWZ1-2S Valuation'720
(Frame, concrete, brie etc.) 7y I �i
Rooms 9' Baths Basement Neale Foundation Const JtdSt 1+�'I BCL'ri'- - Chimney ./CK `Fireplace 0
rr ``(Ful yp r[ one) (Kind) (Number)
(74":\
-� Heat. System 11 €t'GU�' Type o -Roofing
' \Use of Bldg. AG(•'SY3S mi_ ' y Ro.. Lc.fs� cY/
arage or Carport Attached /��
Remodel Moving Bldg. Zoneb Fire Zone
Size of Lot
Ext. Finish Ing® o d
Draw sketch with dimensions showing: (1)
oposed buildings; (4) distance to property
..;tem and water supply lines.
NORTH
Int. Wall Finish "ow ti[Q/0WO¢d
No. of Units Bedrooms -f
Private Detatched SOH` e t`
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-
H
I4t'—I
Plans Received
State License No.
Ino'. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Checked
Plans Returned
Plans Picked Up
a R` Plans Mailed
SOUTH
I hereby camrtt iii ff/p_ informs 'on
submitted
as shown. � itn
Owner or A
is correct and there are no other struct es located on this property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT,
DO NOT WRITE BELOW THIS LINE
Your street address mill be 4// tS '-)L-
Sewage Permit Number Issued Building Permit
Remarks
Se zone is /2:(9...
ehceipt,C,/,f'dv `
Issued
Form 523 Bldg. Code