1975, 03-20 Permit App: K6968 ResidenceCounty 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 mast 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. )there 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 mast 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 cheek 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 1N BELOW THIS LINE
Name of Owner
Architect
Engineer n
Contractor i t Ay//y
Addy. 2
Address _ Phone
Address
Address
Phone Wok -6--e- iy
h.
2./a-/
Phone t.t/A—lo-8'391
Legal Description of Property (6iye complete description from deed, tax receipt etc 1 dad -4.2 oil?
1, T OY
Phone
larnirrn
r; tis R. vv
DESCRIPTION OF WORK: New )( Addition Remodel Moving
Size of Lot .1 2 SX .3 �[ _ Sewage System
Stories- Dimensions a 7,c /E1 -
Rooms /A Baths a Basement trial Foundation Const (tp... t -ti
(Full, part. non r .r
Heat. System • Type/f Roo�fiiPPng tea' ; .S. '-
Use of Bldg. ..).A.1 -0..t .4-A- LfLi ft
otal Sq
Bldg.. Zone Fire/3one 3
a4' onst. J 4-czylc-L.C-
(Fr.. Conc., Br., etc.) ego
Ft 9 6 Valuation 32.00D
�( /�
Chimney ��tt" / Fir place
' L (
(Kind) �� ((Nus. x
Ext Finish t. Wall Finish -/14ebte
No of Units—Bedrooms 9
Card G
PLOT PLAN 22,..d.„42t74-(641'
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.
-I
I hereby
as shown..
NORTH
SOUTH
informs 'on ` witted
State License No.
Jnr — F/A-fr—
Ind. Ins. Acct.. No.
and there are
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
Owner or Agent _ Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS HOT A PERMIT.
(,tu?42mije DO NOT WRITE BELOW THIS LINE
Your street address will be 77 .1/3 a 3
The zone is
Sewage Permit Number Issued Building Permit/1-7,;"9.4Q Receipt 9 4ti3 Issued
Remarks
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Form 523 Bldg. Code