1972, 11-20 Permit App: K112 Residence County of Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT '7 . .!_ !1„
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 mast 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 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 52 i' t!,!: f.-L- .1‘7-.. 1-ztS%
Name of Owner - iL,b� ��ZZd°ddress 411,.ami. —.... -.211P Phone
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Architect Phone Engineer 0, Phone
Contractor Address Phone
Legal Des 'tion of Property (G" e com lete description from deed, tax receipt, etc.) 4 /Ji'^ //
- -),"/ �-- -- 5-47/ -7 -- / -7e.) '1
DESCRIPTION OF WORK:2 �- yNew- Addition Remodel Moving Bldg. one Fire Zone 3
Size of Lot } / - Sewage Syste S. ,. 7-1.5.--
A'
disoDimensions 3 Total Sq.Ft. ,�' —Valuati . --i 0
• cote,bricl�,etc.) , �_
Rooms S Baths /` Basement Foundation Const. Chimney Fire ace
(Full, part, none) '�/ (Kind) ( (Number)
Heat. Syste r if---- ._ / -` T11111. 'e of Roofing Ext. Finish J1 7C9 Int.Wall Finish ., /
Use of Bldg. I i - -- - r No. of Units Bedrooms
Garage or Carport Attached Private Detatched
PLOT PLAN
Draw sketch with dimensions 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.
NORTH State License No.
1 /N Ind.T _ __
No.
_ n
'I
J _ REQ
1" Plumbing Pe oA _
�'
l° Heating Permits ' Y. i
�" Sewage Permit
N , .(-
(' \ "�
� L) Plans Received
---.,,, 4 Plans Checked
c-------- ` 1 Plans Returned
�') ,p Plans Picked Up
�-- -- y Plans Mailed
SOUTH
I hereby certify ",'or,,rtion ubmitted rregt an here gre no other structures located on this property except
as shown. , ` / �� _ e) ---
ser or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be 'O /2 7_� The zone is 47—/ i✓� ,y f✓,,%r:,
Sewage fermi Number Issu Building Permit / Receipt 9r-7,15-- Issued
Remarks . .r2-Ct1-1- A At- 1 -
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Form 523 Bldg. Code