1973, 07-26 Permit App: K2340 Residence•
,,.A- ._-
Counfy of Spokane. Washingfon
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT,, P
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 GCS
Name of Owner vr1 & tlg(J,{N Address mo 3,/T ! D la,( -7
Architect_Phone ----Engineer Phone
Contractor >d 4//"" � kLet70-e)'f/l,f Addres/sv e 3 J7,S7/` oc' Phone
Legal Des cr ption of Pr perty (Give complete—description from deed, tax receipt, etc.)
Ar
�f
DESCRIPTION OF WORK: New Addition
Remodel Moving Bldg. Zone Fire Zone
Size of Lot T_,K ��
Sewage Systeme /eSt ries
T
Const. Dimensions _� 9 %�
Total Sq. Ft. Valuati� °--
(Frar�ie,c6n rete, rick tc.)
Rooms Baths Basement Foundation
Const. [ -[ C� �P— Chimney �L Fireplace
Full, part, none)
Heat. System of Roofing
Md ; / (Kind) / (Number)
E t. Finish Int. Wall Finish
,,.,, .� //Type
Use of Bldg.t7
0 .�� No. of Units 4_ 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
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NA&F H ;
State Lic nse No.
Ind. Ins. Acct. No.
_ �
REQU
IR
ED
Plumbing Permit ✓
J Q a Heating Permit <__
N O c N Sewage Permit .
Plans Received
Plans Checked
�� Plans Returned
1Plans Picked Up
�+ 7, �- Plans Mailed
SOU T
I hereby Ce tify information submitted is correct and there are no other strut ures ocated on thi property except
as shown. f73
ner or Agent Dat
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 'r, 6 e zone ism
sewage Permit Number Issued Building Permit Receipt d Issued
Remarks
40,m23 Bldg. Code