1973, 03-16 Permit App: K895 Residence County of Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT - ..�...
GENERAL REQUIREMENTS PERMIT FEED
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 At ,..m iLDINGS. 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�itk 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 �[ Vi
Name of Owner _�C. P Address • S l� vc • . Phone 3�y % ( S S�
Architect ne Engineer Phone
Contractor Address Phone
Legal Description of Property (Give complete description from dee, t x •e eipt, etc.
..e'c a Q3\a . ;
2 � �L�c cs'c CCc.�is $1. v
La•. l al l G £ . .aJ ")
a7 ,5il3 - a 0 ' _
DESCRIPTION OF WORK:New vA dition Remodel Moving Bldg.Zone I Fire Zone
,
Size of Lot / / + )( 1 ?O� I Sewage System }�t % C.. Stories ____\_—_____\GM
Const. �e`c e.. Dimensions
S ' X z.y Total Sq.Ft. /J`73 (' Valuation a 6,q o4t',
(Frame,co crete,brickdetc.) �\ �,,�
Rooms �(j Baths .. BasementcS�1. Foundation Const. CAN...e— '�\�►- Chimneyi'C;) Fireplace
(Full, part, none) ( (Kind) (Numbe )Q
Heat. System C�c Type of Roofing �.r®'�-i Ext. Finish ��m� Int.Wall Finish a " No
Use of Bldg. Q-4, v�s.-›,...c.-q...- No. of Units / Be rooms...—,
air Carport trached) 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, nd\water supply lines.
NORTH State License No.
Ind. Ins. Acct. No.
�^� REQUIRED
41/1A Plumbing Permit �. + ��30 V!�
// m Heating Permit �'. '''�
m a
ViM Sewage Permit galli\.- a
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
1
SOUTH
I ertify i orma�tio>� submitted is correct and there are no other struct res located on this property except
as sh --J
Owner or Agent to
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONST UCTION COMMENCES.
THIS IS NOT A PERMIT. ''�,
DO NOT WRITE BELOW THIS LINE
Your street address will be -
4[ c, A. Q. .e zone is
Sewage Permit Number Issued Building Permit '1 -Cy�iteceipt tssued
Remarks (0, > o-+c , 14tairza0 I
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.orm 523 Bldg. Code
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