1973, 02-06 Permit App: K611 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT/01_2 ("o
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 mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. Water supply must be approved by the County and State Health Departments. Where work onwater 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 he obtained pertaining to set -hack 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.
APPLICAtT FILL 1H BELOW/THIS LINE
Name of Owner — - ddress /V • 20 FINES Phone
Architect Phone __Engineer Phone
Address Phone
complete description from deed.
£Mtq S-2 o
Contractor 5j}/ti
Legal Description of Property (Give
tax receipt, etc.)
DESCRIPTION OF WO K: New Addition
Size of Lot 7F7 X / 7 (1...
Const ✓ Dimensions
(Frame, co crate, brick, etc.)
Remodel
��fyf/y t) (r"
Rooms 49 Baths 1 Basement. u/i Foundation Const
(Full, part, none)
Heat. System E Rt •et Type of Roofing -/ ,CLL k,o
Use of Bldg. f e c ( Lao iT'f c;(
arage or Carport Attached "7 lien . +c. -LL
Moving Bldg. Zone ( Fire Zone -,
Sewage System se co -e-✓ Stories err. -tan
Total Sq Ft. /r3 ‘ valuation/7A", S»'`%
re N ,_Chimneya/-t.- 4Fireplace Z�
/' I (Kind)) 1„..1. (Number)
Ext. Finish L•C.'�W-�`Nr sk Int. Wall Finish j/ /'", 7
No. of Units / Bedrooms 7
Private Detatched
1 \J-}4 k 2 2 ( PLOT PLAN
iDraw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location oflexisting 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
942
Plumbing Permit
1
State License No.
223 a l 10673
Ind. Ins. Acct. No.
REQUIRED
t
n, Heating Permit
yM
Sewage Permitrs��
Plans Received
Plans Checked,
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify
as shown. _
ner or Agent
A LAND USE OR STRUCTURE PE IT M
THIS 1S NOT A PERMIT.
and there are no other structures located on this property except
n �3
Date
BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
3
Your street address will be
Sewage Permit Number Issued
Remarks
.s___ .�..
Saar
Building Permit
e zone 1
Receipt r.Air
Issued
Form 523 Bldg. Code