1974, 06-18 Permit App: K4997 Residence County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 1 1 166
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 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 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.
„�S'"FATE 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. f
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 lar'
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
y� J/,� � ����}}�� am -,a__ _________.APPLICANT FILL IN BELOW THIS LINE
Name of Owner _Tfi)9x iQLJJ 441, Address -z 9 - -. Phone A A. 5 1 17 T
Architect — Address Phone
Engineer Address ___ Phone
Contractor 91 Altn Address -._— Phone
Legal Description of Property (Give complete descr .tion from deed, taxrec-': . etc.) _ CA- 3 l -9'O.'Y'q-
DESCRIPTION OF WORK: New (/ _ Addition Remodel Moving _ Bldg. Zone ____/— Fire Zone '5
Size of Lot /.2 5 ' x, / o C/ ' Sewage System S T Const. ri—r--*.---,
(Fr., Conc., B�"., etc.)
Stories / /Dimensions 76 ' x . I 'Otct. g--46, 2y Total Sq. Ft. f99-4 Valuation ArL54,000
Rooms et Baths a Basement a 1/ Foundation Const.Co,o <r e f,-e ChimneythS b r y Fireplace a
(Full, part, none (Kind) }},, (Number
Heat. SystemCQ S ,�4 Type of Roofing S{2 c../tie Ext. Finish /V �� Int. Wall Finish to,y,a' ii
Use of Bldg. I 1 Ps.'4.42. h c >< — Gj e//-u e 01 f a .h c, e No. of Units_Bedrooms %-T/ PLOT PLAN
Draw sketch with d ensions 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 •f sewage sys-
tem and water supply lines.
NORTH State L 1cen_ No.
/6t .
Ind, s. Acct. No.
REQUIRED
pl,� Q Plumbing Permit
O �},ff^=V 2) ' �.
.)12
<\ p m Heating Permit
N 0 N Sewage Permit
061
Plans Received
Plans Checked
QK Plans Returned
Plans Picked Up
Plans Mailed
/.ls i
SOUTH
I hereby cert' 'nformaa ion sub itted is correct and there are no other structur s located on this property except
as shown. (� i /�
Owner or Agent b Date /77
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 ..t�, & 0 1 �CZ U 1,The zone is /
Sewage Permit Number Issued Building Permit //(997 Receipt Issued tr - 7,s'
Remarks Permit/
,// //
Form 523 Bldg. Code