1974, 06-13 Permit App: K4956 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 -‘13e7
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 4'7.235.
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.
PPLICANT FILL IN BELOW THIS LINE
Name of Owner i . / // . Address Phone
Architect •/ Address Phone
Engineer Address Phone
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc
DESCRIPTION OF WORK: New Addition
Size of Lot ', --7e>, /775
75
Stories ,/% Dimensions(' A' :214 74"
Rooms (a Baths Basement
Full, part, non
Heat. System ke- Type of
Use of Bldg.
Remodel
Moving
Sewage Syste
Fire Z
st.
/ Fr.on, Co �y+�
✓'j 7',..- Total Sq. Ft V.
uation��a�=�
Foundation Const Chimney, % l Fireplace '.7 --
(Kind) (Number
7,2. h 1 i Int. Wall Finish
i9�(�L d�Q� No. of Units".Bedroo! 3
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
I he, by -r i/ infor :ti.
as shown. 1
ilii _ I/ 1•i
SOUTH
n submitted is correct and
hrsr
State License No.
X73-0/-9.0_3
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit j L
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
tures locate on tillspropertyexcept
Owner or Agent , Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
`-nf/,� DOO NOT WRITE BELOW THIS LINE
Your street address willllbe /3d/7 GC 7cti ✓/Z _/ The zone is
Sewage Permit Number Issued
Remarks
Building Permit/,,(, , 7, Receipt
sued
Form 5246ldg. Code
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