1973, 07-16 Permit App: K2245 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERM TT �
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
Hi hway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACdESSORY 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
wh_Dc.h are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
2 APPLICANT FILL IN BELOW THIS E
Name of Owner , . .moi ddress ?-G 3 A:„J-- ,Phone ---' J/
Architect r _Phone Engineer Phone `� /
Contracto . z., -k-I. �' Address �� Phone u
L,.aal iescription of Propert. (Give complete description from deed, tax receipt, etc.) - ?-------7 \--6
:�� A � IA. -3 - 03 � 2-
Ar
I DESCRIPTION OF WORK:New _Addition Remodel Moving Bldg.Zo e / Fire Zone t
I Size of Lot /0 J x ) 1 Sewage System /
Stories
Const.\---7\09,^m•.R— Dimensions 61 r lei 7 Total Sq.Ft. f 2 Valuation
(Frame,corete,brick,etc.) �)
Rooms .5 Baths Basement Foundation Const. C e��l*k-Q Chimney JL2 y`�Fireplace I
F))111, part, none) (Kind) (Num e
Heat. Syste f_9-4t--, Type of Roofing C Ext. Finish Int. Wall Finish .
Use of Bldg. of Units Bed
i
Gara or Carport Attached / d
oms
LI Private Detatche
PLOT PLAN
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Draw sketch with dimensions showing: (1) property lines; (2) street or road locati s; (3) loca i65i 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.
NORTHIIIMiliiiliIll-
, ' =EMI
• �
` REQUIRED
Plumbing Permit
mHeating Permit
m N N Sewage Permit
-I -4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
o SOUTH C.
I hereby ertify 'norma n submitted is correct and there are no other structures located on this property except
hown.
�-- , 7// 73
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION OMMENCES.
THIS IS NOT A PERMIT.
6!,4-&-x-e-et DO NOT WRITE BELOW THIS LINE
/_
Your street address will be / a 7 I ci s / The zone i t
Sewage Permit Number Issued Building Permit !Ay Receipt ssued
Remark J� r
Form 523 Bldg. Code
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