1975, 02-18 Permit App: K6734 ResidenceCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE; WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMITI3 0
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 most 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.
0- 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.9'
t• APPLICANT FILL IN BELOW THIS LINE
Name of Owner --,4-0.—„,,-4 Ca--,... -Grp--- - Address 7 is ---17 4y Phone
Architect i Address / Phone
Engineer Address Phone -
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc )
28— 7143
- /70/
DESCRIPTION OF W`ORK:,New C$.�Addition
Size of Lot 25 �\ / 3 0
Remodel Moving Bldg: Zone 1 Fire Zone
Sewage System -ea.°.Dost.
Fr , Conc., Br., etc.)
�`"��/� � Total S Ft %Go Valuation a29, ;:1/4't)
yo I''��
Foundation Const i Chimney Fireplace /
(Kind) (Number
Int Wall Finish A-1------v----
Ge
/ n =�
No of Units _ Bedrooms ms 2
Stories / Dimen 'ons
Rooms Baths Basement
(Full. part. none)
Heat. y [ m� Type of Roofing -�"� Ext Finish
Use of Bldg. ��-..i-- . -.-c_�
a`
Draw sketch with dimens
proposed buildings; (4) dis
tem and water supply lines.
PLOT PLAN
ons showing: (1) property lines; (2) street or road locations; (3) location of existing and
ance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
NORTH
rn
rn
to
I hereby certify informat
as shown.
i4�
State Lice se No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Fermi
Heating Permit
Sewage Permit
Plans Received
Plans Checked -
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
on isubmitted i correct and there are no other structures located on this property except
.t�. —,5
Owner or genu • Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9-n4 yytdet4,2_,Z . DO NOT WRITE BELOW THIS LINE
Your street address will be c7 0�`)
t.1fge Permit Number Issued Building Permit ft7 73/ Receipt'''. 35 Issuedv
marks
The zone is///
Form 523 Bldg. Code
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