1972, 11-28 Permit App: K173 ResidenceCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE,`WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 7 y 6G
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of ally
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 -RICK 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.
STATS 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.
y�p//� �J APPLICANT FILL IN BELOW THIS LINE /I
'Name of Ownegl7l.y -' �<'weiiJC Address Poona
Architect Phone gineer Phone
Contractory%ptd�/�c. /J�� OdseS$ J//5).-5-0 3 /.
o s-13fie. Phonet,--1?(-413 V.j
Le scripts n of Property (Give c m ate eacrSptio from deeq tax receipt, c.)
DESCRIPTION OF WORK: New /' Addition
Size of Lot 2 2—
Dimensions
ncrete, brick, etc.)
Rooms 'i"—_ Baths ement Foundation Const.
,pert, none) // o
Heat. Syste 't-AmTyof Roofing
Remodel
Moving
Sewage
tal s' _e• Ctdnmey
Use of Bldg.
Garage or Cvport
Bid ne Fire Zone
System_ ones
Sq Ft. � a Valued,* 20 S � of
/eL
II q (Kind) FirePl&(Number)
Ent. Finish �t / Int. Wall Finish V
Attached
No. of Units Bedrodfns
Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (I) property lines; (2) street or road locations; (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.
NORTH
SOUTH
ionbm
or Agent
State License No.
Ind. Ina. Acct. No.
REQUIRED
Plumbing Permit`
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
•
s correct and there are no other structures located on this property a,1cept
Date
AND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
1 Mi -WV,.� DO NOT
VVRITEE�BELOW THIS LINE ,
Your street address will be 4 0 &
102 -,A4t;7
The zone s del„...
Permit Number Iaeuetl Building Permit Receipt r sued
I /
Remarks
// Ti— %
/7�
Form 523 Bldg. Code
Conc, Drive C;-)o`x 30'
l�?61
Pnf� a
ia'
3/'
I ai
is +
31,
a�