1974, 07-25 Permit App: K5360 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED.
listructure
scyucgeslnto erect
nor re of te
kind oralter any bulding orstructurealreadyereted, ortohanaland use. Constructionmust conform with h
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 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
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must egress.
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
Name of Owner -- - _ -
Architect PhonePhone
Engineer
Phone
Contractor, eI 6 l j
Legal Description of Property (Give complete description from deed, tax receipt, etc 1 t) 7�.1� �/
Address
Address
Address
Address
Phone 9:2,0 -9g
7"A'ACY L3
�4TA 5 C, £.4oa' t$l€'EENA CRIES /RR. b//J
DESCRIPTION OF WORK: New k
Size of Lot Udti)
Stories _Z__Dimensiorts
2x,4,, -_! x 4 41
Rooms sL_ Baths �t
_; Basement
Addition Remodel
Moving
Sewage Syst
.J
1/e Foundation Const
Full, part, none
Heat. System F A ' Type f Roof_igg
Use of Bldg. Q.cl
Total
Ext. Finish %-'/!/
PLOT PLAN
Draw sketch with dimensTSns 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.
BlOg. Zone _,L- Fire.Zone 3
,
emi2 onst. "it -C4 -',v-"- ,,
(Fr., Conc., Br., etc.)
Sq. Ft 1'" 7 Valuation
Chimne 6 • place -2
(Kind) (Nu •ber
Int. Wall Finish
No. of Units._ Bedrooms
NORTJ,i
lv1-\
r*,
fr� ,
I hereby certify int rmation sub
as shown.
,�
.30
.20 G
SOUTH
ted is correct and there
are
State License No.
c /( 6u F/ /L
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
f - Q5 7t
Owner
or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
14/(440
Date
Your street address will be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
i
,'
Issued
Building Perilt
The zone is 0,444.41 "a'
Receipt Issued
Form 523 Bldg. Code