1974, 07-12 Permit App: K5209 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201#y, 3 0 0
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
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
I 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 LINE
Name of Owner J-.'A /-y l-LA,--0 I V Address-� ., 9i/ oLOct-- = R Phone 9?t-�a-S' 7
Architect Address Phone
Engineer — Address —_— Phone
Contractor Address 3rone
Legal Description of Pro erty (Give c mplete descriptio fro i deed, tax receipt, etc.) Oi/'4/ ?- O60 5
DESCRIPTION OF WORK: New ✓ Addition Remodel Moving Bldg. Zone / Fire Zone
Size of Lot 7' ' - / SU Sewage System 5 T Const, /
(Fr., Conc., Br., etc.)
Stories / Dimensions 4' -2k1S G'. ,24/1a6- Total Sq. Ft. aa90 Valuation)> 3':Y00
Rooms .6- Baths 0- Basement! U /a Foundation Const.Ca ''.-e r-- — __Chimne /c k Fireplace ,2
(Full, part, none) / (Kind) (Number
Heat. System i,‘,...5 pAl Type of Roofing . ' /, ./xt. Finish G.d r Si o/— Int. Wall Finish Drywa/1
Use of Bldg. o,S,'r/7 n c R Cd j-*g v Gl TT:,ChG i- No. of Units_Bedrooms
/ PLOT PLAN 91a ��
Draw sketch with dimen ons showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines a'id streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
%- State License No. L.�'/
NORTH ? .3-ff/- /yks - �,F-4. __
(�Q Ind. Ins. Acct. No.
'' 7' CR:rC
-------__ -- -1\0
\� REQUIRED
0
S4i Plumbing Permit
N
X in Heating Permit
me,U- 6 ��6.4 Sewage Permit
�>1 l -
�1' : p
Plans Received
G 1 6 0 '� Plans Checked
4GP �' Plans Returned
\', Plans Picked Up
Plans Mailed
SOUTH
I hereby certify inf tion submitted is torr and there are no other structure located on this property except
as shown. ✓ '.J , / liA./
Owner or ent D to
A LAND USE OR STRUCTURE PERMIT MUST BE ON T PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE ,/
Your street address will be ��� i .1 ..,Aw w• / - / The zone is V , - / c�/�� Fes"" )
Sewage Permit Number Issued Building Permit) Receipt b 6 0 1 Issued
Remarks
Form 523 Bldg. Code