1973, 09-04 Permit App: K2661 Residence•
11‘ 08s'13 0 tin3
Comfy of Spokane. 1A(ashingfon
BUILDING CODES DEPARTMENT, COURTHOUSE, 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 er 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 thestructure 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 car. not bring action to enforce covenants or dedications.
APPLICANT FILL 111 BELOW THIS LINE
0 el
Name of Owner l.�eAS-A
Architect Phone Engineer Phone
Contractor S a ryn e Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
_ _—%fact 2Qq • /oj- 6 exrep i- 0. 35 pi- e) 5JocK /
Mae ie. Mit Iadd. n ` / - 0.9cs---
ddress S, II
1
Phone 9a2t/-t3S74
DESCRIPTION OF WORK: New ie Addition
Size of Lot /TS X / 6 4
Const. r'1201)14 Dimensions hi' ' .X 3o
(Frame, concrete, brick, etc.)
Rooms_ A t Baths Basement Fut!! Foundation Const
(Full, part, none)
Heat. System F /eel le i IC Type of Roofing
Use of Bldg. Keel' toll.) e C 1
(Image or Carport Attached C w. -f- f% 1eAc d
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.
Remodel Moving Bldg. Zone
Sewage System Si"V-h G
Total Sq Ft. rzierFtetr Valuation' 2a a o O
Chimney
/44-
leow (=
Fire Zone
Stories �J
C,n elrrrk
Ext Finish
S r cJd,we Int.
No. of
Private Detatched
6 Fireplace
(Kind) , (Number)
Wall Finish Di, 4 toe 1/
Units Bedrooms
>° / f c -y
NORTH /aWe/Q I'
/6 e
yi
t
I her
as shown.
y
certify
Noga
State License No.
az3-oI-9773
Ind. Ins. Acct. No.
REQUIRED
i
��r
Plumbing Permit
nw Heating Permit
Y Sewage Permit
Tx
H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
7
SOUTH
information submitted is correct and there are no other structure located on this property except
7-
Owner or Agent
Date
A LAND?USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION
THIS IS NOT A PERMIT.
73
DO NOT WRITE BELOW THIS LINE
COMMENCES.
Your street address will be
Sewage Permit Number �S fi� The zone is - -
Issued Build tag Permit dlo 6-/ Receipt ¶t I
Remarks
ssued
Form 523 Bldg. Coda