1974, 09-30 Permit App: K5924 MHCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT60�
GENERAL REQUIREMENTS PERMIT FEE `7�
'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.
RATER. 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 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 Depart±ent and work must be
performed in accordance with stakes. Points of ingress and egress must be approved by the County En3ineer.
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. e
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
A ehitect
gpbor
incLLe
t .,If
IP
I 'l
as shown.,
gal t-scrr 'tio of Property
Address Phone
Phone Engineer Phone
Ardi
ive co ete desc
Address ' 3 - O;, one 9,7
f, on from deed, tax receipt, et .) art . / )//10,
DESCRIPTION OFOpRI$: New Addition Remodel
Size of L�jtt / f) X/. 17'
Const 14-C'7+tt_' Dimensions 0
- 0 to S`
Moving L Bld
Sewage System
Total Sq. Ft.
(Frame, cone te, brick, etc.) ]
Rooms a_ Baths Basement (V O Foundation Const
Full, part, none)
Heat. System T pe off /o -
Roofmg
Use of Bldg. - 21 i e t
Fire Zone
Stops
Valuation 7 6 0 O, O a
e.-6-74..--ong:4-1-64e-cleChimney tt Q Fireplace/V0
(Kind) (Num r)
Fi ish %T Int. Wall Finish -wL.
..� No. of Units / Bedrooms 2
Garage or Carport Attached Private Detatched
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.
y
NORTH
I hereby c
State License No.
Ind, Ins, Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
y information submitted is correct and there are no other structures located on this property except
7ffa,/1Y
Date
er or Agent
A LAND USE OR'STRUCTURE PERMIT ST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be /_ � D / ' -.-<-v U
t e zone is
Sewage Permit Number
Issued Bonding Permit ? Receipt f4i ' I1sued 9f' 3l%
Remarks
Form 523 Bldg. Code
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