1973, 04-17 Permit App: K1317 Residenceis
County 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 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.
�y APPLICANTyFILL IN BELOW THIS LINE �jt/
tArchName of Owner / i ` h /'L tLL 7.,•1 [man C' 'i enA(iAress q9 a7 or / 3 s Phone W '' IS L ‘61-
Architect
itect &O'? -e - Phone Engineer Phone
Contractor S'' )71 '-(. Address Phone
Legal Description of Propert (Give complete description from deed, tax receipt, etc.)
L at 4"F LI/4 4G'4r ii, t t&t 4L a 7'.e 43 f{-ati•
rCLr1 .7-St/5N�4— If„o�-4
DESCRIPTION OF WORK: New/�� Addition Remodel Moving Bldg. Zone / Fire Zone 3
Size of Lot 9C e 4 C p 0♦ Sewage Sy. •m Sec) tit C. Stories
Const. P]# AYh 'C Dimensions 3 .Z) 7 O Total Sq to - , Val,}tation 7 G a 0 0
Ailiam,at .60
Rooms Baths._ Basement Hen)) 'Foundation Const. 4- e II t1 )'tet .00 Chimney Fireplace
(Fpart, none) ./� , (Kind) (Number)
ull,
Heat. System go cA. Type of Roofing Qll p Ext. Finish R.A r.( S d Mllit Wall Finish C$ @+Ct. OOGt
u
Use of Bldg. i tQ-%. No. of Units / Bedrooms 5
Q.anigeaRc Carport Attached i' Private Detatched
(Frame, concrete, brick, etc.)
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.
den oY"Cs
$ PORN H
State License No.
2a3 -61 -?1 -'i -o
Ind. Ins. Acct. No.
REQUIRED�
+(l Plumbing Permit E. Ane 9 ' $ 4 /L
��iiDi+ Heating Permit er�� N� e
Sewage Permit I'i N t L e
IN&
O, SOUTH`
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify informati+n submitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent / Q tr
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONS UCTION COMMENCES.
THIS 1S NOT A PERMIT.
Your street address will be
DO NOT WRITE BELOW THIS LIN
20 /
Sewage Permit Number Issued Building Permit
Remarks f ,At c(
e zone
Receipt
Form 523 Bldg. Code