1973, 01-17 Permit App: K377 Residence• 0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT _ �,6
GENERAL REQUIREMENTS PERMIT FEE --- 'j.._�.__....
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 nX,, .d,' ,r �/c� J0 -
Name of Owner 4Address
Architect 0 Phone Engineer
Contractor ,� Address—
Legal
ddress_Legal Description of Property (Give complete description krom
deed, tax receipt, etc.
Ui .
"LcL _ �c
Phone7
Phone
DESCRIPTION OF WORK: New _X _ Addition Remodel Moving Bldg Zone Fire Zone —
Size of Lo _ fyCi �i �t>' Sewage System ' _ Stori s
_ 6
Const. /' " Dimensions �c � � -� -1( —2 4% Total Sq. Ft. �S- % 1— Valuation Lin
(Frame, concrete, brick, etc.) Ln�d test Q��v Le
Rooms Baths BasementJ.t.0 Foundation Const. -e z �✓1�� i Chimney fireplace
(Full, part, none) y (Kind) C (Numb r)
Heat. System T r
y pe of Roofing Ext. Finish ��� Int. Wall Finish
Use of Bldg. No. of Units Bedrooms_
Garage or Carport Attached Private Detatched.
0 PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
(3) location of existing and
(6) location of sewage sys-
NORM State License No.
Ind. Ins. Acct. No.
l
REQUIRED
i3 �iAR• r k,6 s,
Plumbing Permit
m Heating Permit
>1 1110 N Sewage Permit
( Plans Received
Plans Checked
1 Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify
SOUTH
tted is correct and there are no other structures located on this property except
as s n.
Owner Agent Date
A LAND USE OR STRUG URE 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_�rj4�(n �(The zone is L
Sewage Per Number Issf� Building Permit�� Receipt % Issued
Remarks 1111 Q� d, -(i
Form 523 Bldg. Code