1974, 12-20 Permit App: K6526 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.
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 , �r ,, 9 " ") 6 k,
adr II . 4111_ L/
Name of Owner �_ t/ / ,.. = • ddress 3 / 0/ Phone T C�/
Architect
Address Phone
Engineer Address �, , Q Phone
Contractor Address
id�r' �-`� Phone
complete description from deed, tax receipt, etc 1 PORT /4-3-'4 -9/e-/
Legal Description of Property (Give
L t3 T 121,
-'ke 4 an / ab h
DESCRIPTION OF WORK: New , )( Addition
Size of Lot r•6
Stories / Dimensions
Rooms __ Baths./ Basements Foundation Const.
Remodel
7' l9 >< 4
Moving BId� Zon�-- Fire e
Sewage System
Const. ��' 1'� "
(Fr., Conc., Br., etc.) a D
Total Sq. Ftv�luation ^� GOd
Chimney
Heat. System
Use of Bldg.
..}Full, part, none n (Kind)
't. ft:3QType Roofing l�
1�.9CJ GGW/4Int. Wall Finish
Ext. Finis
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
ry
ri l5>/ "jV"
NORTH
Fir place
(Nu be�r��fj✓`�"1
No. of Units — Bedrooms
3
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-
RESIDENTIAL - COMMERCIAL
3
L,
/1
m
-
SOUTH
hnrpby certify information submitted is correct and
as sh n.. -7
a Lic(e:Nc
n'
t. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures
Owner
r Agent
located on this property except
/ Z —7 II
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
r ` D ,(, �4.G6-i -- 1i�tOe The zone is
Sewage Permit Number
Your street address will 4 f Issue Building Permit Ziv Receipt >7.7•69 Issued
Remarks
Form 523 Bldg. Code