1974, 12-06 Permit App: K6437 Residence• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 7
O G
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 he 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 ded
APPLICANT FILL IN BELOW THIS LINE
i ,
Name of Owner _i ... Address .`,_e
Architect Address ../.57.2. -
Phone
Engineer �} /1� Address✓� Phone
ContractoJ v -� ���ddress-'t_7`- (!^ Pt•nne
Leg De ription of Property IGicomplete description fr m deed, tax receipt etc 1
.006 tr .oxe2
DESCRIPTION OF WONew /\ Addition Remodel Moving - BI . 20 e Fire Zone
RK
I/ Sewage Syste 5-5‘
c i Conc.Brr etc.))
StoriesI Dimensions Y/l r� Total Sq Ft,/ �/‘ Valuation
Rooms Baths 3�Ipart none) Foundation Const —
Heat. System' pooflinLg
Use of Bldg. _ e of R
Size of Lot
Chimney( Fir`placeeNumber
1 /1
Ext Finish / `"
e
Kind)
Int Wall Finish
No of Units _ BedrOGfis
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 bruildings; (6) location of sewage sys-
tem supply lines.
Z
NORTH
cA6c—t
SOUTH
I herryrry����ebyyyyyy c
as shown.)(
Owner or 'Agent
(� S� gs —7
State License No.
(94-
1ud. Lis. Acer. '#o.
0223-0/—/.ss32
r o,/25
Plumbing Pe REQUIRED
m Heating Permit
IP
Sewage Permit
N
Plans Received
up Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
/2
Date
A LAND USE OR STRUCTURE PERMIT MUST BE.ON THE PREMISES BEFORE CONSTRUCTION COMMENCES..
THIS IS NOTA PERMIT.
7pernap DO NOT WRITE BELOW THIS LINO �S)
Your street address w111 be / 9-2-0 C..� ' _ -
Sewage Permit Number Issued Building Permit
Remarks
The zone
Receipt.
Issued
Form 523 Bldg. Code