1973, 04-27 Permit App: K1468 Residence.0 ; - 4 &
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT a0
GENERAL REQUIREMENTS PERMIT FEE.._ :3� _________________
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.
NATER. 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 z0
Name of Owner
Address D Phone Fhgb 7
Architect Pho a Engineer Phone
Contractor Address Phone
Legal Description of Property (GVe.,comQlete descriptifon from deed, tax receipt, etc.) ,5 '-2
DESCRIPTION OF WORK: New Addition Remodel Moving Bld Zone �— Fire Zone
Size of t Sewage System Stories % d
Const. Dimensions X Total Sq. Ft. �,o -L. d Valuation �6
(Frame, co trete, brick, etc.) '
Rooms Baths A_ Basementy oundation Const. Chimney ireplace !R
(Full, part, none) (Kind) (Number)
Heat. System A, Ty of )hoofing l /t Ext. Finish nt. Wall Finish
Use of Bldg. No. of Units Bedrooms_
Garage or Carport Attached Private Detatched
PLOT PLAN1P
Draw sketch with dimensions showing: (1) property lines; (2) street or road loca ons; (3) location of -
proposed buildings; (4) distance to property lines and streets; (5) dimensions of b ldings; (6) location of
tem and water supply lines.
State License No.
3-of-14SY7
Ind. Ins. Acct. No.
4-A-7-/
IRE
Plumbing Permit
rn Heating Permit _
a Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby a tify info ion sub W-itted is correct and there are no other structures located on this property except
as shown. � '�
—� - -7-3-7-3-
Owner or Ag&t Date
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
�I
Your street address will be % D � �aL cxL The zone is. M4
Sewage Permi Number-�-7�— Issued _ Building Permit ReceiptQ a g / Issued
Remarksi 4.CGC_Q i2._i�%� +Q Z /1/ 7496
Form 523 Bldg. Code