1975, 03-14 Permit App: K6895 Residence 44 ohil
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
s -
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.
ilk _ APPLICANT FILL IN BELO
W THIS LI
Name of Owner A --. A • _.� ' i ,ddress ikr......w, - J . -41-41 Phone `r- -/ / -J id/
- i
Architect IOi"
Address �' _ _ - _ Phone
Engineer Address Phone
Contracto Address Phoneraer i
Description of Prop ( ive complete description om deed, tax receipt, etc.) 4-2 5 5 :349-- — 0 p�/ V
_ L�
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire Zone
Size of Lot g )( T / ilia 1 Sewage System -' Const. '7-,"---k.
i (Fr., Co ,.etc;),
StorieJ Dimensions a •1\ v y 0 g Total Sq. Ft.. S� Valuation
Rooms 7 Baths -Ba ement Foundation Const. I1,�ti� Chimney Fireplace
Full, rt, none) (Kind) (Number
Heat. System Q , Type of Roofing C4 --/ Ext. Finish f - l// Int. Wall Finish
Use of Bldg. No. of Units_Bedrooms
- ce_r_4_52,,,,,,,,....t. ,SPLOT PLAN Y6 f � ,_ -e,----",-/
Draw sketch with dimensions showing: (1) property lines (2) street or road locatibbs(3 location of existingand
g. p P Y ( )
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
em and water supply lines.
NORTH State License No.
JInd›-Ins. Acct. No.
4,
j'-\''' \ --
--___4 REQUIRED
Plumbing Permit
in HeatingPermit
cn '� ��� �` N. ' N Sewage Permit
1 Plans Received
Plans Checked
•
Plans Returned
\, Plans Picked Up
", Plans Mailed
SOUTH
I r by cer ify information submitted is correct and there are no other structures located on this property except
as show .1-- V-761/1"-, •C- 4"--T'j 3//�Jj ,
Owner or Age Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS tS•NOT A PERMIT.
�) DO NOT WRITE BELOW THIS LINE
I
? _ .___a 4 ' - I 4 �
Your street address will be �
A.., le i, The zone is
Sewage Permit Number Issued Building Permit /(�,:/. -Receipt C ssued _
Remarks /,�
Form 523 Bldg. Code