1973, 11-16 Permit App: K3293 Residence, Renewal of J1273c O
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT'(
GENERAL REQUIREMENTS PERMIT FEE
any )
the
PEWIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of
kind or alter any building or structure already erected, or to change a land use. Construction must conform with
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 he 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 enfor ea e through pivil action. County Officials can not bring action to enforce covenants or dedications.
/ 1lrItc co'- PPLICANT�FILL IN BELOW THIS LINE
ea 7
Name of Owner - Address / '��7 Phone
Architect Phone Engineer Phone
Contractor '"�- Address Phone
Legal Description of Protect (Give complete dde;crip�ion from Seed, tax recei tttc.-
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DESCRIPTION 9F OR New O Addition Remodel
Size of Lot r /SIX /� �y
Const /" Y->ra—Dimensions 4t t�✓( /6 .=2 -9:112, ---
(Frame,
con ete, brick, etc.)
Rooms Baths
Heat System
Use of Bldg.
Garage or C arport Attached
Moving Bldg. Zone / Fire Zone /
Sewage System JCt. / Pim Stories 5-2177:4' eve
Total Sq. Ft. F to ,l? Valuation Q o65fr
��,rCO Chimney KJ ~ 4 Fireplace
'r.' ' \ (Kind)
97 -12 --Basement i% i h oundation Const C %Ishr reF
/] (Full, part, none) / /,( (Nt/[tuber)
L 2 'I Type of Roofing Ext. Finish /!1/ Int. Wall Finish
1
'�,
Draw sketch with dimensions showing: (1)
/proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
No of Units / Bedrooms 2—
Private Detatched
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
State License No. e
Ino. Ins. Acct. No.
REQUIRED
Plumbing Fermi
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cer information submitted 1 rrect and there are no other structures located on this property except
as shown.
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
tui-rvie4etz DO NOT WRITE
BELOW THIS LINE
Your street address will be gO/ 4...4:7,/0/ Y 4 Ste' The zone i8
Sewage Permit Number Issued Building Permit Receipt/✓3 Z^Issued
Remarks \
Form 523 Bldg. Code
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