1973, 07-13 Permit App: K2236 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 9940
APPLICATION FOR LAND USE OR STRUCTURE PERMI a-o
GENERAL REQUIREMENTS PERMIT FEE 3Q
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. 1.,,
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SEi-BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set-back from the front property line, of N.
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 BELO THIS LINE
." s
Name of Owner _ <. _-_'' f s 4 -...--...A............__."_ r•ddress O Phoney 'U 6 Q v
Architect Phone Engineer Phone
Contracto uyyt_.lt- AddressPhone
Legal-D "
escription ove f Property,(Gicomplete description from deed, tax receipt, etc.) o y 7 ^ ^� /
2,-2.-::Z;e7 r:(.26,7.--C-11 '
..‘,/,
DESCRIPTION OF WORK:NewewAddition Remodel Moving Bldg.Zone / Fire Zone 3
Size of Lot // 2 V, (3 t i �/ Sewage System.--;/,-O,�. Storie
�!u �- a -I -I- 1 0 q Total Sq. Ft. /5- '3 G valuation ,-V f)n_d
Ca
Const.oi� Dimensions �
(Frame,concrete,brick,etc.) /
Rooms Baths Basemen '.[..L.... Foundation Const.��t( Chimney FireplaceC�--
un, part,lone) (Kind) (Number)
Heat. SystemType of Roofing GiyV� A
Ext. Finish , Int. Wall Finish
Use of Bldg j � u�t ` No. of Units Bedrooms,3__
Ga • e • Carport Attached Private Detatched
PLOT PLAN ‘--- -e---/A-t--'47 �� % /lU ti.- -c.�a•7-�i
craw sketch with dimensions showing: (1) property lines; (2) street or road tions; (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 • 'e icense1
Ind. s . ct. No.
REQUIRED
_ ,)/ ,t._ 144P' /4/(9 c)) \6
Plumbing Permit 1�. - 2
m Heating Permit s air
pri to H Sewage Permit
Plans Received AAP
Plans Checked
Plans Returned
Plans Picked Up
r Plans Mailed
,....\•i SOUTH
k I hereby cer r do fitted is correct and there are no other structures located on this property except
.as shown. �!��
�'' 'Z7' /i3)/. ; 1- .
Owner or Agent Date
A LAND USE OR STRUCTURE PER‘ MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. ,
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be / `7 Alli...IL— " 'e zone isir--c-i
Sewage Permit Number Issued Building Permit Ii%ISi1. Receipt^-Cp/Issued
Remarks ,1 .....J! . ./
Form 523 Bldg. Code
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