1973, 04-16 Permit App: K1367 Residence, Renewal of J1394 County of Spokane, Washington 7_,,.._
BUILDING CODES DEPARTMENT, COURTHOUSE SPOKANE,
X
WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT d�
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 ci'1 action. County Officials can not bring action to enforce covenants or dedications.
Q j, ` , ,4 , APPI,JC FILL IN BELOW THIS LINE
Name of Owner_— 40441dress / iyF
Architect Phone Engineer Phone�C % g/'Contractor Phone
Address Phone
Legal Description of Property (Give co ete description from deed, tax receipt, etc.)
DESCRIPTION OF WORK:New Addition
Remodel Moving Bldg.Zone Fire Zone
Size of Lot 5( 6' )1", / Z ciff
Sewage System ,,....*—c_ ,,, J Stories .r .�;
Const. / Dimensions y1' X y 4 /6 X
(Frame,concrete,brick etc.) * Total Sq. Ft, �/ Valuation
Rooms, Bathsf
/
Baseme�C� Foundation Const. ( .,i)(—C.L.i,L
Full, part, one) Chimney Fireplace
Heat. System /: _ _ Type (Kind) (Number)
of Roofing Ext. Finish Int. Wall Finish
Use of Bldg. ---' ,_. _ _ '0
No. of Units Bedrooms
Garage or Carport Attached
-g
-_/ �- , 1, �� Private Detatched
/ 3 C K PL /PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
6
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH State License No.
Ind. Ins. Acct. No.
.AX REQUIR D
/1101! l d(Zc
Plumbing Permit
* m Heating Permit 4 '
ma
cm Sewage Permit
9---( 7 Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOU
hereb , A yinfo oration s corre t and th- - are no other structures located on this
as �wn. ��/ • property except
wil
Owner or Agent
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 bee' pi i j 3- _ 33 Al -
Sewage Permit Number The zone ism - >-,67--0
Issued Building Permit ' Receipt
Remarks / Issued
Form 523 Bldg. Code