1975, 03-19 Permit App: K6955 ResidenceCounty 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 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 anti/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.
5-/
APPLICANT FILL IN BELOW THIS LINE
Name of Owner t1eNOL 0J COtI i Address P o Ig[7X ,2 / 3 tib Mix.)),- Phone 9de 6/
Architect.Phone Engineer Phone
Contractor AIn'►C Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) ,Z Cr'
DESCRIPTION OF WORK: New i*"..-- Addition Remodel
Size of Lot 06 ,4/(2 '�G //'6/ /47/0
Const F✓Mwk: Dimensions 3-0-„ a e 49 D
(Frame, concrete, brick, etc.)
Rooms £ Baths Basement�L Foundation Const(70.1iC-veyt
(Full, part, none)
Heat. System / i6r. Type of Roofing
Use of Bldg. pc:-.--,. , ,-(41/t, y
Garage r Carport Attached --X4-4iC
0
Moving Bldg. Zone
Sewage System 14N
Total Sq. Ft
Ext Finish Pry 45ivy
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) s
proposed buildings; (4) distance to property lines and streets; (5
te,d water supply lines.
NORTH
himney
Fire Zone
Stories/
Fireplace i%/Z
(Kind) (Number)
Int. Wall Finish a` y c.:i4//
Valuation
No. of Units Bedrooms
etatched
ions; (3) location of existing and
uildings; (6) location of sewage sys-
m
to
Its
I hereby certi infor
as Shown.
SOUTH
witted J orrect and there are no other structures located on this property except
41(
Owner or Agent
State License No.
6111;1:,
ns. Acct No.
/AI
REQUIRED
Plumbing Permit
n� Heating Permit
Ao
M d Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFOREDate
CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
_the zone is - /6 `-1---
lding Permit
Your street address will be
Sewage Permit Number
Remarks
Receipt qq3(Issued
Form 523 Blda. Code