1973, 09-04 Permit App: K2665 Renewal of J35847� Your street address will be ' L, ',1 e zone is 1' !- \.l C f�
Sewage Permit Number "Issued Building Permit Receiptil Z §sued
Remarks
• J• s / ) /Le
County of Spokane.Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 49401 i
APPLICATION FOR LAND USE OR STRUCTURE PERMITJJ
GENERAL REQUIREMENTS PERMIT FE I7.31;)
_ �
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.
,l APPLICANT_/FILL IN BELOW THIS LINE'91G
Name of Owner `��� - s?�/� 1 J'C)T' /(/Address
Architect
Contractor
Phone
Phone b J '57
Engineer Phone
Address Phone
Legal Description ofProperty(Give complete description from deed, tax receipt, etc.)
Cf)!74
"C'.% r -c •047 v F°/- /62 % , ry
DESCRIPTION OF WORK: Ne(" . ion Remodel Moving Bldg. Zone / Fire Zone
Size of Lo , I/ f k 1.4./ 7 ar Sewage System Stories
Const. Y rr e Dimensions / / Y (/ el / Total Sq. Ft. / 3 %6r /%Valuation
(Frame, concrete, brick, etc.)
Rooms y Baths Basement - Foundation Const
C e- r e 1 e- Chimney Fireplace
e ,(Full, part, none)
Heat. System Type of Roofing t' �-*�- (• Ext Finish c
Use of Bldg. �2 S /� t9�-Y ) ( ` ; f -1?-71
(Kind) (Num9er)
Int. Wall Finish tc)ail t
o. of Units / Bedrooms
Garage or Cr rport Attached,(�r'• _ % Private Detatched
`l C� �it c fir, r -k L� i 0 Ute'" 71
PLOT PLAN
Drm4 sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
(posed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
m
NORTH
SOUTH
‹,..,.;)7 Lice e
Ind. Ins./)lcct. No.
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I ereby certify information submitted is c7r,9m, and there are no other structures located this
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
T ISIS NOT A PERMIT.
as sho
operty except
DO NOT WRITE BELOW THIS LINE
Form 523 Bldg. Code