1974, 12-23 Permit App: K6541 Residence County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMITSii
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 LINE j�, ;) _i
Name of Owner_ela - /1.:2.- -) Address �` � Phone -2/
Architect Address ' ` ' �, Phone
Engineer f) Address Phone
Contractor ..= Address Phone _
Legal D,Acrip,'on of Property (Give)complete descr' tion from deed, tax receipt, etc.) 3 5 / ' D `5
'a ✓� =-- / __Q._/ --d.7'L-t /l-Z
DESCRIPTION OF WORK: New AdditionnRemodel Moving Bid Zone / Fire Zone �-S
Size of Lot /6` 6 X ' /4j /• / 7 Sewage System n t.
�� r., on Br., etc.)
�/ ion +'Ci pec
Stories / Dimen�j�ons �CQ /\ Total Sq. Ft. ZiJ�D Valuation
Rooms Ba07
ths^ sement Foundation Const.. .r.4_°"<------ Chimney Firgggplace
ull part, none) '77—j (Kind) �L (Num
be
He ys Typ of Roofin• _ i Ext. Fini Int. Wall Finish r ,e��C��ct
Use of Bldg. / r.--4,--i-e--e-.- ---7---&e- Or" -��-� 7 No. of Units_Bedrooms
PLOT 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.
NORTH State License No.
1 Ind. Ins. Acct. No.
I "
1" REQUIRED
� '
Plumbing fermi �
in Heating Permit
en P
.a
Y to Sewage Permit
1
17,--- 7-7 Plans Received
. Plans Checked
I Plans Returned
103 Plans Picked Up
Plans Mailed
• ,to,
b
/ O >
7 SOUTH
I hereby certif• • ormation submit, :d 'is correct and there are no other structures located on this property except
as shown. ./'' /.:2---. ,,,.....y
j.i ner or Agent Date
A LAND USE OR STRUCTURE PE•MIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be 2 /.- /-5 32 zone�-is , -�� "--
Sewage Permit Number Issued Building Permi i Receipt / 3issu
Remarks -fit ' { '
t
Form 523 Bldg. Code