1973, 08-09 Permit App: K2464 MHCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99307
APPLICATION FOR LAND USE OR STRUCTURE PERMIT' �c
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 end State Health Departments. Where work oneater 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 Coutty 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,
6
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 L-Ofy CTh4 /Pr2I Address % O Pr 45'44 Phone 9247' --viSzs%/
// Phone YRinser Phone
a`7/ Address/e. ]'; ?! S, � Up/t'4lay -%O g. e 4�yovas-v
(S±ire cvm late dencri tion from de d tax !1
'In ). Arehltect
• D'
ntractor ay 9Ya'4 a&
EA) sPC
Leml DespriDtiory� e P,5 operty p p receipt. etc.) 0}• L Bine+ ,
rxn �D l Kn X »t & Au lb- aA A„r<i/ G erP.� *, ben
oa to l * lR-CST—tJR/7t
DESCRIPTION OF WORK; New V Addition Remodel
Slee of Lot / ��
Const Bi,f ^Dimensions
(Frame, concrete, brick, etc.)
Rooms S Baths _/ Basement syn Foundation Const t i tom eft
(Full, part, none)
Moving
/<l,)(r 0
Bldg. Zone
Fire Zone :7
Sewage System Seg /i G. Stori�es �+�—
Total2q Ft / /75f.0 Valuation -Fres?, 00
ChimneyIW%O 1 Firoplaee 7P
,yam ,[ (Kind)
//'�74-/ Int Wall Finish se/
( umr)
Heat. System E./e - T Ow./.0--/-f
I y e of Roofing mg OP
Ext Finish
Uso of Bldg. C. Pio of Units Bedrooms
, Garage or Carport Attached %t)0
Wrivrte Uotntched
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.
NORTH
805- ef4-/-
/2017,
YI
Lf 13a3
I hereby e- y infor�i.f
as shown. •
v IP
t-ner or Agent
,SOUTH
submied is
correct and there are
State License No,
Ind. Ina. Acct. No.
REQUIRED
Plumbing Permit
IR Heating Permit
Sewage Permit
N
Plana Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this
g— 3
Date
propfty except
A LAND USE OR STRUCTURE PERMIT MUST„BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
IS IS NOT A PERMIT.
L' tiz...t(:,Lb-u_ 911,141 DO NOT WRITE BELOW THIS LINE
street address will be
Sewage Permit Number Issued
Remarks
Build
e zone isOpo r'6'-t/C/
ng Permit ti.2t1(0C/ Receipt.l Issued
Form 523 Bldg. Code
AA*
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