1973, 03-08 Permit App: K731 Basalt Veneer5' County of Spokane, Washington
S () BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE -------J"
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.
NATER. Plater 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
faZ it/EY ty Phone Ar d
Name of Owner • - - _ . «-r.N Address
Architect 99 Phone Engineer Phone
Contractor Address Phone
Leg 1 D i tion o �Prrty (Give complete description from deed, tax receipt, etc.) ! �/S-rj/�3 02 702 j
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fire Zone :—
Size of L __2 f Sewage System Stories
Z`
Con imensions ��' �! ',�. S� "1" f G X S! .S Total Sq. Ft. /SSV ation
'SZ
(Frame, concrete, brick, e c.) ,�"
Rooms Baths Basement -__.� Foundation Const. ��[! �c //f �-� Chimney _Y� Fireplace
(Full, part, none) (Kind) (Number)
Heat. Sys ype of Roofing `"�—' Ext. Fini h ��r>Q 4�t-Int. Wall Finish
Use of Bldg.�c7 No. of Units _/_ Bedrooms
Garagelo Carp Attached— Private ----=2 -n
b
ket with dimensions
Ings; (4) distant
orate supply lines.
PLAN
lowing: (1) property lines; (2) street or road locations; (3) location of existing and
to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
C`
c
i
A
Sta cense No.
Ina. Ins. Ac . No.
REQUIRED
Plumbing Permit
in Heating Permit
AA Sewage Permit
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
IIO' eby rtify information submitted correct and there are no other structures located on this property except
K. Z2L Af �,f� _ � -3 -- cP- — 7 7
Nk�I Owner or Agent ` Date
LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
Form 523 Bldg. Code
Issued
/M
_el-
iC/`X/ The zone i�
Building Permit Receipt (, l°/ Issued