1973, 06-26 Permit App: K2097 Pool0
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT . b
GENERAL REQUIREMENTS PERMIT FEE /gam
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' a 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 OF BUILDINGS. A permit Is required to move an existing building. When a building is moved on a County ar 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 enforcepcovenants ar dedications.
�/� �/J /, (i APPLICANT FILL IN BELOW THIS LINE cl� v9�4
Name of owner -'A"✓• [r.4. v^rA1r Address 10Z/7 e, 9 . Phone KES aJ,-7/f'
Architect n Phone Engineer // �l'' 99R/4 Phone
Contractor ./ Addrdss3 SO$ 71. RCIZCCIr.rar.r, R' Phone WA -6-A5.2.7.
Legal DescrI tion of Pro arty (Give complete}tescr_i3tion fj� deed, tax rete �yt,ety.� /` r4 SZ4' -0 1' 1
.5 A .CdT.0 !7 -LR �'(-K7 /11'�-dY,LLctJ-ArJ
DESCRIPTION OF WORK: New _ Addition Remodel
Size of 70 Wed/
Cons�imensions 7o,X ac.Ry
(Frame, cone e, brick, etc.)
Rooms —Baths Basement —Foundation Const
Moving Bldg. Zone Fire Zone a
Sewage System Stories
Total Sq Ft. �.�L, ValUatior'O SZ d04�
Chimney —
Fire
one la . Ton of g c ..4E�Finish 4T.f-/Ifedt.[4_Int. Wall
Useof Systemldg14ace
No. of Units Bedrooms
Garage or Carport Attached Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) Property lines; (2) street or road locations; (3) location of existing and
proDosed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
State License No.
dK
Ind. Ina. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
9
—SOUTH
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as show
/X) /n -P fie-%�
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be G $/ 7 In 94. a zone is A'Lefe.-
Sewage Permit Number Issued Building Permit 0 2Q, Receipt.2&7/ Issued
Remarks
Form 523 Bldg. Code