1975, 02-18 Permit App: K6733 Residence# •
County of Spokane, Washington
. BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, 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.
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.
OUNTY 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.
!JVING 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
c which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE CJP,2o 8
7 Phone Lio?p
Name of Owne re-er _ a, e Address
Architect Address Phone
Engineer Address Phone
Contract sA.eP �9-/� su m.. Addressc - Phone •3'1 ' �-' Th
' Legal Description of Prop • y (Give complete description from deed, tax receipt etc 1
t• ri/�A�'.-e `7�/� __ rr i c22r-V 73—�20Y
Zen
is.'
DESCRIPTION OF WORK: New ✓ Addition Remodel Moving Bldg. Zone l Fire Zope 1/4"--9
60/ X %30'
Size of Lot
Sewage System Cons[
(Fr., c., Br., etc.)
Stories imensions (;2) .3-S' TS /1 /� X/L'Total Sq Ft al tion 77 -7 , 5J')
Rooms Baths / Basement /11.b:.✓ Foundation Const -O T- ' % � Chimn Fireplace
(Fulyll part. none) (Kind) �// (Number
Heat. System fJ t7. C _i' Type of Roofing (-2-a,-----,...,./9 AExt Finishes--�-tl ^ , Int Wall Finish -n-C -i - 2- d_�_
Use of Bldg. (/Z o �,_r pw_,, ,� e J No of Units l Bedroom
PLOT PLAN
aw sketch with dimensions showing: (1) property lines; (2) street or road locations',' (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
•
NORTH
State&e: No.
Ind. Ins. Acct. No
as S
Plumbing Pe
rn Heating Per
NSewage Permit
H
REQUIRED
Plans Received\
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
2
SOUTH
I ereby certify information submitted is correct and there are no other structures lonat-d on this property except
n. J / 1- /..IJ//
t.', sl _ `-N
Owner or Agent Date
LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
AA. 144,a4a-
Your street address will be
Sewage Permit Number
Remarks
NOT WRITE BELOW THIS LINE
sued
) --P.eOle?� -The zone is
Building Permit /..Z, 7,37 Receipt Jcx 3 Clssued
f.
Form 523 Bldg. Code
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,Arl'lease consider—Irie%Ilowlvi TITLE-EXCET. 710':SG/Z'alnc-