1974, 03-11 Permit App: K3856 Residence0
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
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.
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.
„ I _ APPLICANT FILL IN BELOW THIS LINE
Name of Owner
Architect
Contractor
Legal Des
cription of pro erty (Give complete description from deed, tax receipt, etc.)
-j97':S-q--///0
DESCRIPTION OF WORK: New il�Addition Remodel Moving Bldg. Zone �� Fire Zone
Size of Lot fa x i 140 _ Sewage System 7:5 e'Je /t'i Stories
Const. Fit Alm t Dimensions 3Yx3 2- Total Sq. Ft. 1lo Fit: Valuation
(Frame, co Crete, bric''kj//etc.) �J%
Rooms Baths � Basement _ �• Foundation Const. 0&2lChimney Awe /Fireplace
(Full, part, none) y- (Kind) (Numb�r)
Heat. System I Type of Roofing Ext. Finish t ( Int. Wall Finish 111 y wV,
Use of Bldg. R eS+ e -At c e No. of Units _/_ Bedrooms
Garage or Carport Attached S A 2 M Private Detatched
PLOT PLAN �zz�
Draw sketch with dimensions showing: (1) property lines; (2) street or roa�1,,.ti s; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
nd water supply lines.
NORTH State License No.
3i 373
IInd. Ins. Acct. No.
SOUTH zcT) Aoc
REQUIRED %%
Plumbing Permit ��^-
Heating Permit
Sewage Permit '
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby �cee}rttify information submitted �cortd tthyere areno other structures locate on tthis property except
as shown. Y t,Q�Jc".k'�..n�V � _ �( ��-rT! �/�/�7 7
U Owner or Agent U �`� 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
Your street address will be I —J d At) a zone is
Sewage Permit Number Issued Building Permit�Receipt
Remarks
Form 523 Bldg. Code
Issued