1973, 10-16 Permit App: K3087 Residence, Renewal of J4732 .1
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT �i
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 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 LINE �j ,i� � f 9. /�-
Name of Owner 41. A „ - 't i .� ?i •ddress/ Jr g e,z'Z/42-4.��1(f Phone Gt,
Architect Phone Engineer Phone
Contractor.,>4.,a4-1/LC, Address Phone
Legal Description of Property (GDR co plete descri tion from deed, t receipt, etc.),��.��k 7,3�f'3 -2(�-�
G T 13..K .. � _ _z ? f
.41tic e_tci—a L
DESCRIPTION OF WORK:New�—Addition Remodel Moving Bldf.Zone / Fire Zone
Size of Lpt 6-6 1C 7e x /6,Z /4 G X t 9` Sewage System,N F��, 0
r ' Stories �
Const.+ rl f�rvL( . Dimensions F"c y o' Total Sq. Ft. /116 Valuation Valuation
(Frame,c ncrete,brick,etc.) ``� ,,rrII - ���� Gy
Rooms Baths 3 Basement--� .. .'• Foundation Const. ('c#-t4C�L.�t.- Chimneyr rL fireplace
-� �.� (Full, part, none) e-6--14-2.-p—
� (Kind) j (Number)
Heat. Systeme 15'13T pe of Roofing L..-6--r4- jZ . Ext. Finishes ,(v-7a-C� Int. Wall Finish �i�' U 4L
Use of Bldg. '>r-Cf— .4.ALI .c_c_t No. of Units Bedrooms
Garage or Carport Attached Private Detatched
�(k j PLOT PLAN
Draw sketch with dimen showing: (1) 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 State License No.
Ind. Ins. Acct. No.
'/7 3
'19VAtt G z2.0 e' REQUIRED
Plumbing Permit
n� Heating Permit
m a
(A Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby ce tify infotion lubmittei is c e]ct d there are no other structures located on this property except
as sh�. � 'L�l7E%Ld
Owner or Agen Date
A LAND USE OR STRUCTUR ERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOWBTHIS LINE
Your street address will be_4,2 2 9l. �� C Q e zone is I C.u q-& .vk-. 1e .
Sewage Permit Number Issued Building Permit 36(6 7 Receipt 3-I1 Issued
Remarks
Form 523 Bldg. Code