1973, 03-19 Permit App: K851 Residence•
County of Spokane, Washington
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 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. -
T -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
ast 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
ATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
d egress.
UNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
rformed 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 UNE s •
Name of Owner C •fr /17 c� c w h e y Address C �l 0 g j 7 /1 v Phone�� - C'
Architect Phone Engineer Phone
Contractor �` Address Phone
Legal Description of Prop•rty (Give complete description from deed, tax receipt, etc.)
), % _ - .. c3/-YS'-H�>
JiM
DESCRIPTION OF WORK: New r Addition Remodel
Size of Lot R .x /
Const. / ri- -`- Dimensions -1c5-1` 3 3 x
(Frame, concrete, brick, etc.)
Moving Bldg. Zone / Fire Zone
Rooms Baths Basementf- //
(Full part none)
Sewage System S T Stories 5 G -
Total Sq. Ft. / 3 C
Foundation Const. C0.0 < ✓ E' T
Heat. SystemeType of Roofing Cc
Ext Finish
Use of Bldg. )1Q.1, C/-&- r cc y c F Tac /7,,c�
J
Garage or Carport Attached
Valuation }
Chimney /-3J'i c 1< Fireplace
(Kind) (Number)
Ci q i�, ; c.. Int. Wall Finish J) /
No. of Units Bedrooms
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 buildiigs; (6) location of sewage sys-
tem and water supply lines.
m
NORTH
SOUTH
I herebyrtify in rr mations m�itYed
as shown.
Ar-
ner or Agent
is correct and there are no other
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
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
Your street address will be -5 0,7 ,11(2J--(X-L--"-k- The zone
Sewage,! Permit Number Isamed Building Permit __ Receipt
Remarks hL4p�[ P d- 4) 7/40
is
Issued
Form 523 Bldg. Code
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