1973, 07-03 Permit App: K2160 Residence r
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 3S
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
Name of Owner ./..." �' •ddress �2�/e.c." Phone//O2 "�i��
Architect Phone Engineer Phone
Contractor S ��7 L—e__ Address Phone
Legal fescription of Property (Give complete description from deed, tax receipt, etc.)
�.�4 ' f � Q — a U
w
iii -� — \`'G��` _: -,' _� i ..' � 1 __ _ i
DESCRIPTION OF WORK:New 1--'Addition Remodel Moving Bldg.Zone I Fire Zone
Size of Lot / r ✓ cF d X / Z S x // 9 Sewage Systemj.Ll�e-Ce..]..-/ Stories ®---n-o i
Coils �nl .e limensions '/ 3 y 2 1 .20 X Z/ Total Sq. Ft. /4 Cf//J Valuation 1a2 �
(Fra ,concrete,brick,etc.)
Rooms G Baths Baseme Foundation Const. '—tl--y/�G! —• Chimney Fireplace —
(Full, p one) (Kind) (Number)
Heat. System ---2i ype of Roofing G�TX - • Ext. Finish i.. Int. Wall Finis
Use of Bldg. — �« __ _ No. of Units Bedr oms
•460'rage 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
. 'posed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
em and water supply lines.
NORTH State License No.
_
er /i9. )..z
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit l
\
m Heating Permit V ,
m
vi \ cm Sewage Permit
- 18i P(6PoseGI '\, -
,l s,•dee 4, 416,
T �a �� Plans Receive.
c Plans Checked
Plans Returned NIL
\
__4 " '2 Plans Picked Up
a 1111.
4 'm Plans Mailed MIL
SOUTH
hereby certify information submitted is correct and there are no other structures locate on th's property except
hown. '3 7 3
,.1;) Owner or Agent Date
ti 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 / 0 .Z/ a zone is I v • T�
Sewage Permit Number Issued Building Permit K---,11F0Receipt . Issued
Remarks _,._., it - .i : 0
Form 523 Bldg. Code