1973, 10-08 Permit App: K2995 Residence0 0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 �� O
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE _.___.... I___ -___._____._.
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 mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. 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
7h1 address 4?9-�X
z rT� Phone f '7 ZZ'Z
Phone
Engineer
Phone
Contractotectr
Contractor'-`-'
Address
Phone
Legal Descript n o;
Property (Give coalpj pt description from deed,
ret ipt, etc.l
ell
U�vC3el
DESCRIPTION OF WORK: N w �Addi
Size of Lot d
Const. -� Dimensions,
(Frame, c trete, brick, etc.)
Rooms Baths Basement
(Full, part, none)
Heat. System Cy`�'� Type of Roofing
Use of Bldg.
Garage or Carport Attached
Remodel Moving Bld . Zone Fire Zone
Sewage System ��� Stories ske,'yi/
Const.
Total Sq. Ft. Valuation
l K C. Y e Chimney ' ' - Fireplace
( )�drooms
_ Ext. Finish C C�"g'� Int. W 1 Finish No. of Units
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.
NORTH State License No.
Ind. Ins. Acct. No.
REQUIRED
G Plumbing Permit Pv
�n Heating Permit �P
M a
N H Sewage Permit
Plans Received
Plans Checked
DK
Plans Returned.
Plans Picked Up
Plans Mailed —
PLOT PLAN: Land and Building Dimensions, Location of buildings, driveway, etc. on tot.
BUY A " FAMILY Hot�4F it
DARRELL G. CONDRON,
B 0 X i 327
SPOKANE, WA ,
7714-9 PAGR 1 ...o ldaW Is UJLA.
1
j' <
;ll , h w
f „
v r'�
+�IqA
r r;
L4 -
i
O 197
zua
1 AFNCE
VElp/flEp iY