1973, 12-04 Permit App: K3355 Residencec
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 5
•
GENERAL REQUIREMENTS PERMIT FEE L'"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 an 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 ,m,/.ft, ' 4G /e+' �'�'.ddress (ay/_�7tr2 Phone < -17c;) c
Architect Phone Engineer Pho
Contraetbr.- Address Phone _
Legal Description of Property (Give lir desc iption Vora deed, to rep /l t, pts ).•
' ,o2cr /C'C:/ /Ao // q/ Y/t2J i' a e-4,
Are C/ Pr c3.74 -*yr- —ca aer
DESCRIPTION OF V,e���RK: /New "' Addition Remodel Moving
Size of Lot /'� /� %/�!� y / y
Sewage System
Const � Dimensions <'?X y /<. 7 Total Sq Ft
(Frame, colter -ate, bricJc, etc.) /,
Rooms Baths /Basement f Foundation Const /'!Ji'LC
/�1 (Full, part, none)
Heat. System l:1 �'7 Type of�toofing
Use of Bldg. p'I �s ��
Garage or Carport Attached A
/ Fire Zone 2
) ems"- Stories frr c -+
}� /VI'aluat�i1on .,12-�EJC�I
Chimney Fireplace ..6
Q (Kind) (Numbs )
Ext Finish C�'�2'�/\ Int. Wall Finish is /
No. of Units / Be rooms 3
Private Det:dched
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
m
-1
SOU TH
I hereb ce ify�tnnfff ion'sub
as shown. LiGT
die it
State Li¢knse No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
tt%d�is' rect and ere are no other structures located on this property except
/ 7 J,
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 Ped; cgo oc 7 //62907,6€
Sewage Permit Number IssuedS Building Permit
Remarks e+097444 r -v . 7114.,2..-47—
'2.. /1)
e zone' girt)?
Receipt gi C7, Issued
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For,' 523 Bldg. Code
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