1973, 09-25 Permit App: K2854 ResidenceCounty of Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS 42 00
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.
NATER. 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
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 BELOW THIS LINE
Name of OwnerK & B Enterprises Address 10404 E. Jackson Phone928-4400
Arehitectk & B Enterprises Phone928-4400Engineer Phone
ContractorK & B Enterprises Address 10404 E . Jackson Phone928-4400
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 5, Block 4 Glen View Acres 2nd Addition
_Assessors Parcel #28541-2005
DESCRIPTION OF WORK: New X Addition Remodel -Moving Bldg. Zone �_ Fire Zone —Y
Size of Lot 110 X 134Sewage System on S i to Stories 1 W a S e.
const. Frame Dimensions 24X49 30X28 2,016
(Frame, concrete, brick, etc.) Total S qFt.Valuation$ 33,950. 00
Rooms 6 Baths2&1 Basement Foundation Const. Conc!rt-te Chimney Bx-iak Fireplace —1
(Full, part, none) (Kind) (Number)
Heat. System Gas F.A. Type of Roofing Shake Ext. Finish Wood Int. Wall Finish Gyp Board
Use of Bldg. Residence No. of Units 1 Bedrooms 3
Garage or Carport Attached Yes Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) loc ion 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 State License No.
223-01-14176
t I y Ind. Ins. Acct. No.
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I hereby cgrt,f,� , foion
as shown. / �' �./ i / J 1
SOUTH
REQUIRED
Plumbing Permit 1
m Heating Permit
to Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
tted i correct and there are no other structures
' ' Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number
Remarks
Form 523 Bldg. Code
on thW property except
Date
BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
�--7o ,
e zone
Issued Building Permit Receipt_