1975, 02-11 Permit App: K6709 ResidenceCounty of Spokane, Washington'
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 1
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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner P ddress - °` - Phone
Architect S ✓ Address Phone
Engineer Address % Phone
Contractor C - r Ir Address "- �4 Z Phone ZE6 `=
Legal Description �f Property (Give C�omplets escription from deed, tax receipt, etc.) �� �/ 3 •w F�i
a
I
U �
s;ol
Ind. Ins. Acct. N '
Cg
REQUIRE
Plumbing Permit
M Heating Permit
NSewage Permit
Plans Receive
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby ..certify informs ion ubmitted is correct and there are no other structures located on this property except
as shown. i
l
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 be / �� �- The zone is J, ,
Sewage Permit umber Issued Building Permitt.'41,s q Receipt Issued
Remarks F / P ilii-� c C,Q r., f* --z a -
Form 523 Bldg. Code
DESCRIPTION OF WORK. Ne Addition
Remodel Moving— Bldg Zone / Fire Zone
Size of Lot 3 �! 13
Sewage System onst. — b P
Stories Dimensions _n 6 Y` (o �-'
Fr., Conc.,, r., etc.) •�
�F
Total S Ft. _ t't% y-
q. Valuation
Rooms Baths -2Basement U % Foundation
/
Const. 4oAl&ke C ChimneyFireplace 12,
Full, part, none / ( ind) / (Number
Heat. System k/' -C Type of Roofing
Ext. Finish Int. Wall Finish Pe f cC
Use of Bldg. t G
�7f
No. of its _ Bedrooms =
d
PLOT PLAN -'� 4;
—6raw
-� t
sketch with dimensions showing: (1)
property lines; (2) street or road locations, (3) location of existing and
oposed buildings; (4) distance to property
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
te and water supply lines.
%�� �d
NORTH
,�,
�,/�Qfi1<<t�C.it/L`
State License No.
I
U �
s;ol
Ind. Ins. Acct. N '
Cg
REQUIRE
Plumbing Permit
M Heating Permit
NSewage Permit
Plans Receive
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby ..certify informs ion ubmitted is correct and there are no other structures located on this property except
as shown. i
l
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 be / �� �- The zone is J, ,
Sewage Permit umber Issued Building Permitt.'41,s q Receipt Issued
Remarks F / P ilii-� c C,Q r., f* --z a -
Form 523 Bldg. Code
1
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