1972, 12-28 Permit App: K312 Residence0 0
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 49201
17
APPLICATION FOR LAND USE OR STRUCTURE PERMIT �'-�'�"-
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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.
HATER. 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
Name of Owner � K" 7 l a Address r � Ll aG %"�( ZU phone ?�l
Architect PhonggineerPhone
Contractor L �/ �v.rV77/W Address S-'ne Phone olfve
Legal Descriptioly ¢ Prsperty (Give complete description from de d/ tax receipt, etc.) c
7-11
DESCRIPTION FF X ODRKK: New d it� Remodel Moving Bldg. Zone �� Fire Zone
Size of Lot Sewage System ! Stories
Const. Fi-a A-Ae-- Dimensions Total Sq. Ft. Valuation �
( Frame, concrete, brick, etc.) / �-
Rooms Baths 2— Basement Foundation Const. �/i% 04— Chinn ey Fireplace
(Full, part, none)&O"qP� (Kind) N h (Nu ber)
J3#913,L_
Heat. System �.—Type of hoofing Ext. Finish Int. Wall Finish
Use of Bldg. 7—,( 4'4 No. of Units Bedrooms
Garag or Carport Attached O Private Detatched
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
!.1
SOUTH
I hereby certify information
It as shown. "-17;r ni--aa
7
State License No.
Ind. Ins. Acct. No.
REQUIRE _.
n
Plumbing Pe
M Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
IP1 s Mailed
is correct and there are no other struct es located on this property except
Owner or Agent Date
A LA USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONST
THIS S MOT A PERMIT.
Your street address will be
Sewage Permit Number
Remarks it , -nit �aw
Form 523 Bldg. Code
DO NOT WRITE BELOW THIS LINE
--I a
5— D
Issued
0
Building Permit
The zone
Receipt_
ON COMMENCES.
`/s-/��.
_tissued
FL'_ 7- PL
41
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NI 4 V -e- 01 61(
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