1973, 10-01 Permit App: K2960 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 0
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. 4
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 a 6 � Qf -7
'7A A �/� J
Name of Owner.,` ,C�U1 L4 _ l4 � Address [ l,d- - 2e SPhone Cr - t}V/ _
ArchitectPhone / Engineer _ Phone
Contractor' Address Phone �9
Legal Description of Property (Give omplet descri tion from tax receipt, etc.) _ D-�.„.„74 ',
,t,nT/. —i_C34 '3 Lett
4 H€
. .__ 2 - `7 ;
DESCRIPTION OF WORK:New Addit o Remodel Moving Bld Zone / Fire Zone
� ,,11
Size of pt /4 6 k /. 5 C I. -.tr P.uK I+ Sewage System%g�. (�� Stories /
Constk r-r�-p_,vNJ . Dimensions4..C-X•1740 �2 yx o2/f Total Sq. Ft....g /6
Valuation 3 70l>d ��
(Frame,concrete,brick,etc.) O /
Rooms Baths Basement Foundation Const. Chimney 4 fireplace -
(Full, part, none) / !� ,, (Kind) `�\. (Nu ber
Heat. System R A - Type of Roofing(- - _ Ext. Finish l.��.d`2 LG LLQ Int. Wall Finish fli�l1 -GZt-�
Use of Bldg. _ .O_ L LZ4.L.4'.L. No. of Units Bedrooms ,
Garage or Carport Attached / ,7(a�.t �� '
Private civate Det itched
ill 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. §2'^-22--7
Ind. Ins. Acct. No.
J.Q . a ,P ,
REQUIRED
Plumbing Permit
rn Heating Permit
ma
H N Sewage Permit
-. -I
Plans Received
0 Plans Checked
Plans Returned
____i Plans Picked Up
Plans Mailed
SOUTH
tI hereby .fy ' formation sub itte/ is torr and there are no other structures located on this property except
ash,shown. �� � /CJ l i
Owner or Agent Dae 1
A LAND i SE OR STRUCTURE PERMIT MUST ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS I NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE ND DUPLI>
ZcN& CH, /'ENW.Al
Your street address will be „54 ;, 46I;, 1 The zone is ii _, 4- :
Sewage Permit Number Issued Building Permit ',�Receipt 14( U Issued
, Al'/ cam. -�_
Remarks G vcll i--it.. 4-7,(J 7144/fpJA
Form 523 Bldg. Code
4
7C
V
L
I
)33 CO
I
o, 1,7
--/ $4I
Qa
o6 - U vi•
_
o \
ev,
Y� 0
ctr-
_et n
1-1
v
y , .96 4i/