1973, 03-26 Permit App: K943 Residence ClIC 0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 9920
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 L
N',.me of Owner ....±...1 , Address (rl LV QJAJ Phone o2 3 51) Z
Architect Phone Engineer Phone s_
Contractor Address Phone
Le 1 Description of Property (Giv omplete description from d ed ta eceipt, etc.) ,2 Q 5 ! 3 6 p 6
DESCRIPTION OF WORK:New Addition Remodel Moving Bldg. ..ne / Fire Zone
Size of Lot 1 C J ) i .3 r —
Sewage System .4 . _ Stories
Const. i..---- Dimensions / F 3 /74..,. --( Total Sq.Ft...) a /� Valuation 03, Q d J
(Frame, ncrete,brick,etc.)
Rooms cj Baths Basement /Lk Foundation Const. Fireplace
(Full, part, �ione) _ (Kind) (Number)�
Heat. Syste Type of Roofing Ext. Finish nt. Wall Finish .i-ems c-f-''—\
Use of Bldg. No. of Units Bedrooms
Garage or Carport Attached �- — Private Detatched
PLOT PLAN _ I -e`
Draw sketch with dimensions showing: (1) property lines; (2) street road locat .:; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buil jigs; (6) location of sewage sys-
em and water supply lines. ��
NORTH r �J
__________
=mi.
y/ 2/
1) 441 REQUIRED
a f ;' Plumbing Permit h
m
�,
)---)272-:
�� m Heating Permit ff�-
4jOit 1 N Sewage Permit _
-i � ''o;
1/ ff
Plans Received
ow-
Plans Checked
Plans Returned �—
Plans Picked Up ,
Plans Mailed
I SOUTH
.,_ i
I herebyce cert' info mation submitted is correct and there are no other structures located on this property except
s'm
Aar _ _
Owner . agent , - Date
40
' 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 '
�, A
Your street address will be 6 '� �/j ,e zone is
Sewage Permit Number Issued B • .ing Permit f1 Receip}, — sued
Remarks F.-4o-,4 6.- i__, Ilfrito `� "'11
Form 523 Bldg. Code /
I H
(-W NO. 174NI-11%17
/IV
,-------PLOT -PLAN--
SCALE
PLANSCALE . = 201-0"
LO-rs 19 20 ) BLOCK 36
KOKOMo TOW Ns )TE
SPOKANE COUNTY WASH.
-PARCEL ,NO. 28043 —306