1974, 11-07 Permit App: K6230 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT --. (yi"-----
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.
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 BELOWJTHIS LINE F71,-2 y
Name of Owner._t 1w/„l.Qe /Z-d• � �E
r 12 A '.ddress / ! „ e/ 2 r ;-,30. 7,�_ -� � Phone
Architect Address Phone
Engineer / Address Phone
Contractor ' P--7,,,W----,,--• /./1. ,�/ ?ffi' &-' Address ICJ/F.e),,. '_-_ -;' 9 Z` hone � -'',V,Z
Legal Description of Property (Give complete description from deed, tax receipt, etc.) _
,
_ 47/'� ,Tn-�-c,-v r ,-, ,J.--7-,,,?/ --&,__... _.3
DESCRIPTION OF WORK: New v''✓Addition Remodel Moving Bldg. Zone % Fire Zone -3
Size of Lot e)/ / 3.7 / Sewage System. �G - onst. ----------1.---°----
// (Fr., C , r , etc.) as--
Stories / Dimensions .�e-, ' / y1--'/ 1- c.2,; '. Total Sq. Ft./ A7Val ion /d0,
Rooms Baths / Basement ...fie/Foundation Const. (�`'-re-«- �Chimney'2,'.' r' ^ Fireplace
(Ful , part, no (Kind) (Number
Heat. System .A
Type b1 Roofing '' rIiC
. Ext. Finish ”- e- Int. Wall Finish '(4-C Cc/cr'�:�
i o �-
Use of Bldg. . .+� , , --'w.- ��� _!r.- _ No. of Units edr000ms V
v -7. PLOT PLAN �. ,._c_.--fie--
a sketch with dimensions showing: (1) property lines; (2) street or road location • (3) location of existing and
pr o d buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH �y `�� State License No.
/-3o ' / as 3-0/ - .-)'"2"/a l CliC'ef/ Ind. Ins. Acct. No.
0
) REQUIRED
` / l Plumbing Permit #4 5;:,--,----"a I 1 � Heating Permit C
N(�� --7 N Sewage Permit
\-1
, Plans Received
Plans Checked
• X. Plans Returned
0 Plans Picked Up
I Plans Mailed
SOUTH
hereby ertify •f" . oration '.�i ed is correct and there are no other structures located on t •s property except
as sh n. �� � � /r 2 2/
Owner or Agent Date
A LAN USE OR STRUCTURE PERMIT .ST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
T IS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will .flillIllitfj, 411.1_, z./K- G' Alc f%� [le zone isy `
---S7' ,
Sewage Permit Number Issued _ Building Permit ,-)(•1,2 3;) Receipt ?d D Issued
Remarks
Form 523 Bldg. Code