1973, 12-04 Permit App: K3358 Residence• •
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT r
PERMIT FEE �9
GENERAL REQUIREMENTS
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 47235.
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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner
Architect
Contractor
Legal Description of Property
e
ii
Phone
rs
ddress - h O.t ?P ? 7 Phon9, P-72 Lz
engineer - Phone
Address Phone
(Give co e e description from deed tray receiipt, etc.)
/ /ee/ �� /7/// lei /*--C f -e --
/t rc e/ tater-may -
DESCRIPTION OF WORK: New Addition Remodel Moving Bld Zone / Fire Zrone �_
Size of Lot AS %%— / 5' to ��U Sewage System
Total Sq Ft �3/ 4 /
r W6r Stories 4rtri, 7
Const. Dimensions -3y x 2--,-, g /L Valuati n / Ce
(Frame, co.n rete, brick, etc.) r
Rooms Baths / Basement / r Foundation Const
(Full, part, none) L
Heat. System �Z-S Type of Roofing �o 'M� .. Ext Finish X� Int. Wal Finish -
Use of Bldg. n��� v� , d/
c
G. rage or Carport ANaehed
0
(/ PLOT PL1
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 ar:d streets; (5) dimensions of buildings; (6) location of sewage sys
tem and water supply lines.
�" �c re T e•
Chimneyt7 Fireplace ?—
(Kind) 77�� (Number
1 V W'a. 1/
r
`tet r
4/.1 � F
No. of Units Be rooms
Private Detatched
NORTH
rn
�1
I hereby cer
as shown.
SOUTH
State L}/cense No.
G Cl/
Ind. Ins. Acct. No.
REQUIRED
r
Plumbing Permit ��j
m Heating Permit /! a -e
H Sewage Permit //4174--
-t
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
information submitpdd orryF't and there are no other structures ]prypted on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be S c -, / / 6 /� yid /7 'rhe zone 'lei
Sewage Permit Number Issued Building Permit X ---j3- Receipt��d 9 Issued
Remarks E' s1JLAt t dni i %11-QdtL
Form 523 Bldg. Code
I3'
L
•I
029/9 /1700)/7
.-41/ Bin./ -s- ;.
niece/(9/a/
LA LDEC
�F1M�H C,065Tg_cacsTtorJ �NC'
?,. I
6.-P-ARi 4 O$i35o-rCL