1974, 02-26 Permit App: K3709 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ,1"/ 0 6
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of all
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.
(lET-BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set-back from the front property line, of at
east 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.
11.P (' APPLICANT FILL IN BELOW THIS LINE . o, 9926e
Name of Owner/le.>4 �/ /I address .4. Fl_Q4 da4 ' Phone H U-q-'7 739
Architect Phone Engineer Phone
Contractor40,/ Address Phone '/
Legal Description of Property (Give complete description from deed, tax receipt, etc.)1, T ��� N5 74.0 43
,E .a- ' ,1-47-6 AI../. / oT S ex-K46 fIoKoMo Townis,re -
DESCRIPTION OF WORK:New X Addition Remodel Moving Bld .Zone / Fire Zone 2
Size of Lot 714 /16 Sewage System Stories "/
Const. -tTirbtiv�4L. Dimensions 4vx hia.�— .2./ 1C Z 1 Total Sq.Ft. I o./ Valuation .11 TDO
(Frame,concrete,brie etc.)
Rooms 4, Baths/ Basemen ttT Foundation Const. Chi ney`y44 Fireplace 4.
1 (Full, part, none) ry otr�laC (Kind) (Nutyibel)
Heat. Syste t A A.. / A' ,Type of Roofing f�lrJ2�R.-i Ext. Finish Int. Wall Finish ail- I -tL�/-
Use of Bldg. .....A..,/__4.- = _ .e!i No. of Units Bedrooms
Garage or Carport Attached jr1"-- ..! Ail- _... 1Private 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.
NOR i HState License- No.
^ J
I Ina Ins. „Acct. No.
______.______-- 3 4
kREQUIRED0\ 1,(\e/
--
Plumbing Permit
in Heating Permit
tn H Sewage Permit
.i ) -I
C------------ Plans Received
Plans Checked
_�'�� Plans Returned
C______-�Ary� Plans Picked Up
Plans Mailed
nTH
I hereby ce fy i ft correct and there are no other structures located on this property except
ag shown.
../ Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
6-A" ,--74,60#g DO NOT WRITE BELOW THIS LINE
your street address will be //4-7/0 r 7 T h The zone is C -a•GL -;
ewage Permit Number Issued Building PermitX-"; Receipt ..5. -/ Issued
Remarks '> �'.'I
Form 523 Bldg. Code
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