1973, 12-04 Permit App: K3356 Residence•
•
County 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.
WEWAGE 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.
__least
HIGHWAYS. Where thestructure 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 au 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
Name of Owner 7772
01 . 75'ILG//Lh f)ress a'O ( 7i) 7
Phone
Architect Phone Engineer Phone
Contractor �""`—' Address Phone
Legal Description of Prope ty JGive omplete des iptj'on fro deed, tax ryce'p e
04677 �iCA /5%%
cg 75LA( 2/63
71 z
DESCRIPTION�RF_WORK: New p' dditioon/
Size of Lot �1 Y �.as �0 �^ %7l
Const. .yeti nC Dimensions /a'( K - v
(Frame, oner'E ete, brick, etc.)
Rooms Baths / Basement
^c,�
Remodel Moving Bldg. Zone / Fire Zone .+
n Sewage System Sr;C/ Stories B-7�—
,,,i=5,- / TotalSq Ft 7t /Vall�uatioonn cQ/637190 '"�
ol..-L yle-T� Chimney V w4crepiace v
gin
�,( (Kind) (Numbe
Ext. Finish W " t1�' Int. Wall Finish r/ �> ll /
No. of Units // Bedr0oms c.?
Private Detatched
Foundation Const
(Full part, none)
Heat.
System 1a e of Roofing 00 14+
Use
Garage or Carport Attached ///���/•••
PLOT PLAN
t 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.
NORTH
I here
as shown.
SOUTH
rn
N
H
State Li ense No.
Gt�.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Fermi
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
by ceT informs ion submitted cor t and there are no other structures 1 ated on this property except
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
S �9'dI �1('.�h lob 1
Your street address will be The zone' Ss�.r::-CJI/ 772.;"e.
Sewage Permit Number.—�IIssued Building Permit.. j35 Receipt 7ijJ (79 Issued
Remarks 1it.r.19�,Ctee_ ind [�1I.11,02,� xx
Form 523 Bldg. Code
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