1974, 09-18 Permit App: K5805 Residence• s •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, 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.
APPLICANT FILL IN BELOW THIS LINE
a C""
Name of Ow
Architect Address
Engineer "/J Address
Addres
dress" CGS-" C /J Phone ^ -7
Phone
Phone
' Phan
Contract
Legalfpelscriptionro Give complete description from deed, tax receipt etc 1
.-6 rj'nrVc ' 02 -7S -57a - \-1,*) /5
/
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone ___,/_ Fire Zone
Size of Lot _.(/2/LQlt2r M2 -r J / 3/ ' V 1 a S"' 1/ i .0 v
3 Si 'Sewage2
System i L r✓ cofnstt.
• / .2 FJ rC Z
1
Stories Dimensions
Rooms 1 Baths
Heat. System �G/ !/
Use of Bldg.
Basement Foundation Const -erh
Full, part, Do
T7 of Rocha
Ext Finish
Total Sq Firte Gr" a Fireplace
irer lace
n
9� Chimney •Fireplace
(Kind)(Number
Int Wall Finish40.#4:19:5...e4--).
No of Onits,2 Bedrrooa'm`
s t?
r a
v
60:4,77i PLOT PaN
Dr
e
d
etch with dimensions showing: (1) property lines; (2) street or road lolatlons; (3) location of existing and
Pr '•.: buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
,t"m and water supply lines.
NORTH
/d S- "/3i
as
SOUTH
hereby cer �y information submitted
_
own.
Owner or Agent
HIS IS NOT A PERMIT.
LAND USE OR STRUCTURE PERMI
Ind. Ins. Acct\. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
52
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
s correct and there are no other structures located on this property except
UST BE ON THE PREMISES BEFORE
7)D0 NOT WRITE BELOW THIS LINE
f-/8 -2/
Date
CONSTRUCTION COMMENCES.
Your street address will bei—=-e�3/"(r =-�" c>C-�/` -1'be zone is
Sewage Permit Number Issued _Buildi Permit / 7 r'ph Receipt %/�/ 9 Issued
f � J D ,
Remarks Q f 2 r.
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R.
Form 523 Bldg. Code