1977, 04-18 Permit App: K1303 MHCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. 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. 1
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.
HATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
d egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
jrformed 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.
t/�) APPLICANT FILL IN BELOW THIS LINE II
Name of Owner 1�LC R.d. I-�i� cow. b Address L L I9005 MORI fwt Phone Sz_V2.39}
Architect Phone Engineer Phone
Contractor M.CItmSTYC ,! IQte.( (`+o.ASon«i' Address Of.3 t�[-c(bo�2j v- Phone
Legal Description of Property (Give complete description from deee/d, tax receipt, etc.)
��I �f4c.11 =ton
Pertik t 6111---xl _
U 9cSSZ'- 0'4V
DESCRIPTION OF WORK: New Addition
Size of Lot Dor `rr(20 I
Const. / w -Q "' C Dimensions I Z SQL o'
(FramerI
, concrete, brick, etc.)
RoomsS—Baths Basem
Remodel
Moving Bldg. Zone ( Fire Zone
Sewage System S74 -(c. Stories
Total Sq Ft 72r-) I Valuation %Vw
eat N Foundation Const ""R-1_ _ �"-4 Chimney Aid Fireplace N 0
(KiFd) yt9umber)
Int. Wall Finish �Vv�
No. of Units 1 Bedrooms 7
(Full, part, none) `
Heat System tt ..P e , Type of Roofing r''__%_: Ext. Finish Yr -3-‘4._K
Use of Bldg. W:-Ei �jsvr..f O+
G�1.M Ce
Garage or Carport Attached
ILo
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 buildii gs; (6) location of sewage sys-
tem and water supply lines.
in
N
NORTH
fact/at :kJ,/
I hereby certify i ormat io
as shown.•
SOUTH
s//uppmitted
VOtotg
State Licen;e No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
n7 Heating Permit
• Sewage Permit
H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
t
s correct and there are no other st/r$ctures located on this property except
I
3 7)
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will tie [„ , k L U0 ° v`ati-“R The zone is go—' "'l�
Sewage PermitNumberIssued Building Permltc ?0 -j Receipt Issued
Remarks ��[�i "-iii 72(.t p "'J
Form 523 Bldg. Code