1973, 10-08 Permit App: K2993 Residence r III a
County of Spokane, Washington ,7/
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 4 ',-
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.
�, APPLICANT FILL IN BELOW THIS LINE
Name of Owner t'�i EFAri deless 8OX 7 27 Phone Fn5 -2LZ-Z--
Architect Phone Engineer Phone
Contractor Address Phone
Legal Description of Property ive complet scr ption from deed, tax ecei t etc.
2 g-s� � �4 '7 / /j 4 -s a��
� ,.-c e/ mss — 077V
DESCRIPTION WOR,,K:New Addition Remodel Moving Bldg.Zone / Fire Zone —
Size of Lot�Y7u� x r; ' `, System -'--
Sewage � ' _ Stories & is(.
Const. Dimensions �947 �� b� �� mr
Total Sq. Ft.- ��v Valuation ��. 0--1.,Z7
(Frame,concrete,brick,etc.)
� r
Rooms -- Baths / Basement / //Foundation Const. C-//t j Chi ,ey./ Fireplace v76`
CJZf (Full, part, none) ind) (Number
Heat. System e of Roofing Ext. Finish M ` Int. Wall Finish di�LL/21/
Use of Bldg. No. of Units / Bedr6oms 33
Garage or Carport Attached o-A-'4--- Private Detatched
_ PLOT PLAN
I� 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 State License No.
Ind. Ins. Acct. No.
REQUIRED Y)1)---ifillj6joyCt/Yj
- aPlumbing Permit p
m Heating Permit ire Ni' -I- 4
N Sewage Permit / l !yG-e•
VI
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Xe. N��".". . ,�`�4 ans Mailed
SOUTH
I hereby cert' information s bmitt 's co ct d there are no other structures located on this property except
as shown.
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Ovag-44,4-0-14_111.44e-0 DO NOTWRITE BELOW THIS LINE
Your street address will be /,;26‘97 /
/� ti-te,"e? 6,-. e zone is P- / ..
a
Sewage Permit Number Issued Building Permi a9 Receipt Vs /Issued , —2
Remarks
Form 523 Bldg. Code
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PLOT PLAN: Land and Building Dimensions, Location of buildings, driveway, etc. on lot.
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