1973, 11-15 Permit App: K3296 Residence•
County . of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT .�J
GENERAL REQUIREMENTS PERMIT FEE �/ ti
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of anyJ
kind or alter any building or structure already erected, or to change a land use. Construction must conform with the r
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. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
COUNTY ROADS. work nn 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.
PPLICANT FILL IN BELOW THIS LINE ..��77 7 /' /a
Name of Owner LH7.'-j a/G6 / /dm Address '/ 70 0` Phone t 72-2-L'
Architect' - PhoneELgineer Phone
r
Contractor '—› Address Phone
Legal Description a Property (Gi c mpl to desc iption fro dee tax r, eipt, etc.)
cP,>'-e 2 tioi
DESCRIPTION OF WORK: New Addition Remodel Moving BldF,Zone / Fire Zone ��
Lott? ,
Size of LotO X /e_Ci� Sewage System �-e serC Stories en'—f---9
Const. Arc -S.'-- Dimensions 410at V - Total Sq Ft 2 / Valuation rgt-®&V"
(Frame, con te, brick// etc.) / , /p I/
Rooms aths Basement / Found tion Const Loi'1-GYs%F$. ChimneyG K/Fireplaee en"t^
(Full, part, none) .F /A ber
Heat. System l ./ � '--1Tyge of Roofing Ext. Finish W d-O�� Int. Wall(Kind) Finish(Numa-�
Use of Bldg. V;`�1 No. of Unit S drooms
Cnrage or Carport Att:,ched illanr 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 buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
SOUTH
State LicenNo.
Ind. Ins. Acct. No.
REQUIRED //��
Plumbing Permit ,,��7�7•".�////
rn Heating Permit //.��"VSF
• Sewage Permit S 4 -borer
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby ceinformatio submitted i rrect„and there are no other structures locgted on this property except
as shown.
At Xi'
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS HOT A PERMIT.
a,t^teek efratneb DO NOT WRITE BELOW THIS LINE
Your street address will be;r2'� /-/ The zone 1¢ /G_ffii
Sewage Permit Number Issued Building Permit )< ?9coReceipt Issued
Remarks
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Foran 523 Bldg. Code
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