1973, 03-23 Permit App: K932 Residence•
County P of S okane, Washington o C LI /
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GEilhAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of aaggy�
kind or alter any building or structure already erected, or to change a land use. Construction must conform CA -b'
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
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.
Rnd
ents
which areVenforce enforceable throughrs civiluld check action. Countysions Officialsf ocar..snts or not bringdactionntosenforcemcovenantsing or dedithe land
cations.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner W._00110 - +/ r _ ddress
Architect
Contractor
Legal Descript
Phone
of Property (Give
DESCRIPTION OF WORK: New
Engineer
Address
e 1escriptio ,fr
�� Addition
�ensions'Size ofLo Const.j 1IFE*I '-
Remodel
Moving Bldg. Zone
(Frame7cth crete,biick, etc.)
Rooms
Heat. System Type of Roofing
/j e
Z
Baths - Basement
(Full, part, one)
Foundation Const.
Use of Bldg.
Garage or Carport Attached
Sewage System
Total Sq. Ft.
Co -vi e
Fire Zone
Stories
Valuation
Chimney
', +�j (Kind)
Ext. Finish ,r 14401- +� 4 nt. Wall Finish
No. of Units Bedr
PLOT PLAN
Draw sketch with dimensions sfiowing: (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.
2
/
Fireplace
Private Detatched
(Number)
NORTH
I hereby certify inf
SOUTH
submitted is correct
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
M
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this
property except
Owner or Agent ' Date
A LAND US'EvR STRUCTURE PERMIT UST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
QA NOT WRITE BELOW THIS LINE
/'
_-
Issued Issued
Your street address will be
Sewage Permit Number
Remarks C-m10
e zone i
Building Permit �9,J2i Receipt
97
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