1973, 02-20 Permit App: K556 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEED
S
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of say
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.
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 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
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
with the land
Name of Owner 722y1 ,&!4!G4fl4A! Address E' 79/7 eleCtel,
Architect Phone Engineer
Contractor 5ii7n f— Address
Legal Description of Property (Give complete description from deed
G. o r ? A'cx/(o .57yu/I'd.1
V Addition Remodel
DESCRIPTION OF V4ORK: New
Size of Lot. rs X/tem
Const. �ie/�� Dimensions
(Frame, concrete, brick, etc.)
Phone Gc/fieg7G �—
Phone
Phone
, tax receipt, etc.)
hteres4
A-07
RoomsaC Baths /' Basement/4''-/JtFoundation Const
(Full, part, none)
Heat. SystemELt. /CAL Type of Roofing (Con—.O
Use of Bldg. Stogie—Ce ,C q, w7,41 /eg '
Garage or Carport Attached „4
Moving Bldg. Zone [ Fire Zone
Sewage System 'TJ/° 27c— Storie /72.—_ <30
Total Sq Ft //sem( Valuation -Y! ZS' 95-0
Co nre-_.. Chimney R 'l Fireplace
(Kind) (Number)
Ext. Finish )nk121,.liTC— Int, Wall Finish 4 a'.9't-G-
No. of Units Bedrooms 3
Prrvute Detatched 01
/'V 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 ("'h
!tt7
S6UTH
State License No.
;7.2 -3 —off- /2 k'f "..r -
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Receivedorl
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify informatiolf submitted is correct and there are no other structures located on this property except
as shown.
.490)41
-7,-
OwneVor
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 will b / e 07 At.,.., ii / i40, ,e zone is � ($) b ,
Sewage Permit Number Issued Building Permit Receipt (p 33 V 1 Issued
Remarks �— - r
ok e-" _1-a_o-7a -ilt
Form 523 Bldg. Code
1