1974, 11-12 Permit App: K6287 MHCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 992014
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 onwater 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.
r , APPLICANT FILL IN BELOW THIS LINE
`f'.!'"C��o
Name of Owner ���/23-�1� --rel-c-1 Address 7" 0�1� 9 �" 72C -e#974
Phone O
Architect Address Phone
Engineer Address Phone
Contractor Address Phone
Legal Description/of Property (Giv pomple ee description from deed, tax recei t etc 1
.610T "�0 ci( �v n7/7Ltlp c)� 9s; a
n?i7,el --(1 .77•Y 47 0 7
Bld Zone / Fire Zone 9
DESCRIPTION OF WORK: New )( Addition Remodel MovingSize of Lot ,5 X%r.�i Sewage System • 0 CConst �_
.-� // y IFr., Cono., rr etc.)
St ries �,�'Dimen Bions caC i4` t�Q Total Sq Ft 7 ' Valuation 0,,/OGi?
Rooms )i Baths / Basement arl' -t-- Foundation Const 144--/` Chimney /J� Fireplace //"�
/ (Full, part, none)- y� (Kind) (Numbe
Heat. System a�/rPc! Ty,p of Roofingde,
Finish 1/�!l.0 Int Wall Finish
Use of Bldg. .041;)///e— rice- �S c'S', OC d7. - . No of Unite Bedrooms ';11.-
/
dam/
are
PLOT PLAN
v 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 License No.
6
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
en Heating Permit
Sewage Pe
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby cg>:.ify ormation submitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent
Date
/,? - rV
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be 33 A// / 0 /�_i[ The zone is
Sewage Permit Number Issued Building Permit'4722Receipt 97 Issued -1/1/4/1„k
Remarks
Form 523 Bldg. Code
L ,6,,e _Don woo d CasS oh��e No,e 71.27
Gyi /4111 oc�
33/6 44.: