1973, 06-13 Permit App: K1970 AdditionCounty 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
kind or alter any building or structure already erected, or to change a land use. Construction most 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 Count] Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47235.
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 OP 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.
62 '/� L_.4rf--APPLICANT FILL IN BELOW THIS LINE n�/Q¢
Name of Owner '-'" �'e 11, - ddress �(1 n /! `�.L_etr-- phone WA 6- L1
Architect Phone Engineer Phone
Contractor Se / F Address Phone
Legal Descriptio of Property (Give complete description from deed, tax receipt, etc.) 33 SLf'
*Las r7/ 0t3 SO ' A /v H 17-ecce-�
(#c77
DESCRIPTION OF WORK' New Addition Remodel
Size of Lot iasxs5
Conti,. .e a _ Dimensions 6
Foundation Const.
(Frame, concrete, brick, etc.)
Rooms—Baths Basement
(Full, part, none)
Hent. System �gg ,n Type of Roofing
Use of Bldg. Q.CJ'�/7l- Et)
az .�ii v. -3'4T /2-
Garage or Carport Attached Oq M -E —OS
Moving Bldg. Zone Fire Zone
Sewage System Stories
Total Sq Ft. S*i Valuation ArAro' 0'
Ext. Finish
Chimney
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road Iodations; (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.
Fireplace —_
(Kind) (Number)
Int. Wall Finish
No. of Units —Bedrooms
Private Detached
I hereby ce
as shown. -
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
�Mv+o
SR4� TSI
fay information submitted is correct and there are no other structures located on this property except
4 -
Own or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST R ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be [ /4' 96 6 , 67-44-1"4 -4-4-9' The zone 1
Sewage Permit Number issued Building Permit A �� �ecelpt 21.4,2_a Issued
Remarks
C
Form 523 Bldg. Code