1973, 05-04 Permit App: K1562 MHCowenty 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.
TPTER. supply must be approved by the County and State Health Departments. Where work onwater connections disturbs
e surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
AGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133and47.235.
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 thestructure 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 AlA -'h k WA
Architect
Contractor
Legal Description of Property (Give
•
1•
Phone
Address
gineer —
Address
1° Phone gar -0157/
91a-06
.)
L0-1- if - $Lock' 6 cSA-°Keomplete a""i/1 mei Mob? frt./YO�escF s
rr t
(5'rf6'.1., -0204(
PA k. e e I Plot
DESCRIPTIONyOF,)VORK • New Addition
Size of Lot 7M X J 3 3".- "�
Const 4.Ir M e Dimensions 21.71x 6 d'
Remodel
Phone
Phone
d eldrti oW
(Frame, epnerete, brick, etc.) u
Rooms 4) Baths 1 Basement " Ll Foundation Const
EL
(Full, part, none) �,A ,�/..
Heat. System G L ee �T/ype of Roofing /I1 C t '¢L
Use of Bldg. lt't d %1 1'L e (rob (K e AS Re 5- I ewe
Garage or Carport Attached /Y o
Moving Bldg. Zone Fire Zone
Sewage System �.,le p1, C. Sto�r' s 1
Total Sq Ft /'! / O Valuatioff7.3 (5 0 �. 0 0
Ce Mend
Ext Finish
Ri o e 0.:S Chimney l d Fireplace IVO
0
(Kind) (N mber)
Int. Wall Finish VY 0 0 q
No. of Units / Bedrooms
Private Dutatehed N0
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 aqd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
sem 4-1tnC.Heci
SOUTH
I hereby certify informat''on sub itted is correct and there
as shown.
Owner or Agent
State License -No.
Ind. Ins. Acct..No.
REQUIRED
Plumbing Permit
�w Heating Permit
tm • Sewage Permit
H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other struct res 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.
euteksteLarlilihezdajDO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
lyry
Building Perm
e zone is V Ifita 91(r�.-.�(!/
Receipt 7 Issued
Form 523 Bldg. Code
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