1973, 10-15 Permit App: K3095 ResidenceCounty 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.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property lined 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 ingAls
and egress.
COUNTY RdADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
performgd 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
Name of Owner ‹::;,.,,S, 10,3_,_,.1 Address P C7 . a 0 1 qi g / Phone 94. .,- %>_1/
Architect Phone Engineer Phone
Contractor S, S 'S ,6''p4u4 co,!.; ,P,9( -7)k Address fl C) ' L O'e f L/ l ,y: 4Phone
Legal Description of Property (Give completer�description from deed, tax receipt, etc.)-
�! 07� -2 &',6 %%"' cl *7Oier" x`5C
rc e 1 - 3? 'I" ',di — O'/d
r
Ci
DESCRIPTION OF WORK: New V Addition Remodel
Size of Lot //00 1/ /,, y ''Ji?,C X 22 c.1 %4 w
on
Cst. fli`t.f m e Dimensions �•//#yY .241 Gg. Z 2
(Frame, concrete, brick, etc.)
Rooms 7 Baths Basement ++ %/
(Full, part, none)
Heat. System FA, U Ai c . Type of Roofing & r•,
Use of Bldg. e M c' c• !Gt ,. , �a
Garage or Carport Attached Z 2. k2. h •
i/
Moving Bldg. Zone Fire Zone
Sewage System C. a 4:4 Stories l 2 e
To ^ Valuation 3 7 n 0
P9
Chimney
Chimney per/
(Kind)
Int Wall Finish
L
Foundation Const
Total Sq. Ft.
/A/r y
(0 ('rc
Ext Finish
Fireplace Z -
(Number)
Cf /f7 L:inZ
Bedrooms
No. of Units
Private Detatched
PLOT PLAN
Draw sketch with ensions 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.
m
NORTH
SOUTH
I hereby certify informatio sub m' ted
as shown. / / /����%"/
is correct
State License No.
Ind. Ins. Acct. No.
4 r.' -2 3
REQUIRED
Plumbing Permit 4A1.---4-0 oft—
Heating
z-
Heating Permit (9d rf%/=
NSewage Permit &et, / t✓
and there are no other
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
ner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
1,L-xtzt (y-7.1 74a4fe_
Your street address will be
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
Sewage Permit Number Issued
Remarks
Building Permit
e zone 1s
Receiptr5td
Form S23 Bldg. Code
,
co!