1973, 06-04 Permit App: K1870 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENT,S
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 BELOW THIS LI E
Name of Owner ddress
95� 06
At one 7,- -1
Architect • Phone Rttgineer Phone
Contractor Address Pho e
Legs script o Property (Give complete descriptdign from deed, tax receipt, etc.) �-
�p — .2.5--9 4
DESCRIPTION OF WORK: New Addition Remodel Moving B1./ . Zone Fire Zone
Size of Lot -22.7 SS -A. X28 >{ 229-4 RK 22 7• G- _ Sewage Syste -- = Stos Z --
Dimensions '77/ Total Sq. Ft. aluatiot 0 0 G
ncrete, bricj,4 etc.)
aths -S ent Foun ti Const ,--y,--E Chimney Fir
�m ( ull,> .art, none) (Kind)
e Heat. ys em Pi
/pJ ype of Roon Ext. Finish��___/ 0 Int. Wall Finish
Use of Bldg. 4,i2 -Z iGe---a-•rali (7--s -c No. of Units
Garage or Carport Attached Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locati
proposed buildings; (4) distance to property lines and streets; (5) dimensions of bui
tem and water supply lines.
a.7,Co. S
21
4
I hereby
s shown.
NORTH
SOUTH
certifyirmation submitted correct and there are no other structures located on this property except
4
er or Agent
A LAND USE • STRUCTURE PE " IT MUST BE ON THE PREMISES BEFORE
THIS 1S NOT A PERMIT.
m
a
y
(3) location of existing
ngs; (6) location of sewage sy
State License No.
2 3- o/- cco
Ind. Ins. Acct. No.
os --/4-77
,/is
REQUIRED
Plumbing Perini
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
DOApNOT
y WRITE BELOW THIS LINE
Y ur street address will be 4'/425 �}- (il/
wage Permit Number Issued
Remarks
Building
Date
CONSTRUCTION COMMENCES.
y //
The zone�i(�-
is
6 asue
Receipt d
� k'
3 Bldg. Code