1973, 08-09 Permit App: K2461 Residence County of Spokane Washington to
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201 0o
APPLICATION FOR LAND USE OR STRUCTURE PERMIT4
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 LIN q 9�C
Name of Owner �GLr� up
Address �0_)� 7 G O' !III _� Phone �k– �S 3
Architect I Phone Engineer Phone
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) ,,,a, 9 .5—v3 ._ 6//
DESCRIPTION OF WORK:New Addition Remodel Moving Bldg.Zo / Fire Zone 3
Size of Lot / p D )L' / S f Sewage System Stori / o v
Const. 1.------- Dimensions 7q 1 B(o 4 q • Total Sq.Ft. 4 /7 S Valuation -5 O 0
(Frame,concrete,brick,etc.)
Rooms J Baths Basement -r-t LeFoundation Const. CdkrA.-r� Chimney Fireplace
(Full, part, ne) (Kind) (Number)' �
Heat. System8 '$4 Type of Roofing(7-/jw C,Ext. Finish 2_..rLet-t_ Int. Wall Finish d---eQ----
Use of Bldg. // _Q�11– ,,��o No. of Units Bedrooms 3
Garage or Carport Attached 77.7 e Private Detatch
PLOT PLAN I7
Draw sketch with dimensions showing: (1) property lines; (2) street or road mations; (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.
NORTH Li No.
r
GAcct. No.
// n A W1
I (lc ' r
REQUIRED
Plumbing Permit p
in / / i ( I
in
Heating Permit 4i—
Heating
ul
N Sewage Permit _____
-4
Plans Received Allilk
Plans Checked _—
Plans Returned
Plans Picked Up
,`) Plans Mailed
A.
a/1-e, . i 7
SOUTH
I hereby e y informat in ..mf tedRis correct and there are no other structures located on this property except
as shown.
W-971)--)—
Owner o •_ent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
11,,- eket-,,c-1DO NOT WRITE BELOW THIS LINE
( 'Your street address will be / / O /! -el c-) O -€4 c.�-t The zone is i
Sewage Permit Number IssuedBuilding Permit )7216/Receipt ir
ssued
Remarks
Form 523 Bldg. Code