1975, 02-18 Permit App: K6732 Residenceo
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT'
GENERAL REQUIREMENTS PERMIT FEE ,7
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 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 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
Address 7b -2,7 Phone Sd8 —7.La-
Architect Address
Engineer _ Address
Contractor
Phone
�J Phone
ddress !80-2.2 Phone 3=
Legal Description of Proper- (Give complete description from deed, tax receipt, etc.)
DESCRIPTION OF WORK: New Addition
Size of Lot - S— '
Remodel
``
Stories _.L Dimensions 3 3 X 3S
Rooms Baths7--77 Basement
G. c"-- —I/' Type of Roofing
Heat. System
Use of Bldg.
L g /t
Full, part, none)
Moving
Bldg. Zone —, Fire Zone C3
Sewage System 72-e%. - -."Const �i
%� _ Fr., Ce c., r., etc.)
l iC�iS /!�e Total Sq Ft `J! &'I Valuation •��
Foundation Const �.fr'.)r �. ,A,e Chimney -c-> Fireplace /
(Kind) ,,// (Number
Ext Finish Int Wall FinisIVI•97 -'d' lt--t9
No of Units'_4(edrooms
PLOT PLAN
raw sketch with dimensions showing: (1) property lines; (2) street or road locations;
posed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
NORTH
(3) location of existing and
(6) location of sewage sys-
SOUTH
I hereby certify information submitted is correct and there
as own. /1
(9- 6?0--Y(47Jcly 1...
ner or Agent
LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT .4 PERMIT.
r �M 14'i.a 4.1 /� j0 NOT WRITE BELOW THIS LINE
lour street address will be
Zwage Permit Number ssued
`&marks
REQ i IRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received \
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
Date
CONSTRUCTION COMMENCES.
The zone is
Building Permit A.,6 73 1 Receipt ?i�3.5 Issued
r ?
Form 523 Bldg. Code
ifv5a.,l,c: �p•
i
e U i2 t3 —APR ON - Qc+RB 'cu
71: v• Rm. 42/Ref4ce
CAtV/Nc NAL
stRI -3 Bed,'
G20dNil 16"
Ib UNOHil�N 34°
l 'r F 3-1"
0
CuttII' STREET = —d4_
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