1973, 04-03 Permit App: K1082 Residence County of Spokane® Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 4'
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT 3-3 --
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of ally
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 6c,-0 -S/fc- ief-e, igL1 t
� � -/-C-/L..-Address 1.3-20,-.? ,I4-C)‹e 73 Phone "7Y---7'1.-3-?
Architect
Architect Phone Engineer Phone
Contractor /27-�.— Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) �/ - ' -- - ,.,'---
__ p= _ p2: �..‹_ 4.Z KOKG -'-ac
r7/c> %usrl//� .2 /3- '/07/Li
- , , , i ,, r' i - -
DESCRIPTION OF WORK:New \K Addition Remodel Moving Bldg.Zone / Fire Zone i.. .
Size of Lot foo ok/3 ) / Sewage System ‘e'er,c_ Stories 1 fZ
Coast. F29/14_� Dimensions .3exy '*'1 s" '1i ' 64 - Total Sq. Ft. 9Z Valuation QOCU
(Frame,c crete,brick tc.)
Rooms Baths Basement Foundation Const. C..01) =.47 2-7Z Chimney /04`5 . Fireplace Z
(Full, part, none) ' (Kind) (Number)
Heat. System&'15 #614-4-1 Type of Roofing LOrs/-P Ext. Finish JlTjSZ1f-/ Int.Wall Finish .6 ®3` i'
Use of Bldg. • ''P6Lt Fit' R.Tsir,0¢'�Cx; No. of Units Bedrooms .3
Garage or Carport Attached fY5'� Private Detatched
4i0PLOT 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.
State License No.
NORTH
e it'
IOUI Md. . Acct. No.
t
•
di REQUIRED
Plumbing Permit CSO`�)
��{}-'? -t lel 5�. Heating Permit
mfo
vs Sewage Permit
tri
o
Plans Received
7 Plans Checked
44 Plans Returned
Plans Picked Up
j61.4 Plans Mailed
SOUT
I hereby c> y i,Jor ion sub. ted '' co rect and there are no other structures located on t is property except
as shown. 4°1/4 7
Owner or .gent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
e44. / X410 DO NOT WRITE BELOW THIS LINE
Your street address will be The zone is
Sewage Permit Number IssuedBuilding Permit , -4A6.7�U bReceipt /sued
Remarks -
Form 523 Bldg. Code