1975, 06-10 Permit App: L0449 ResidenceCounty of Spokane, Washington
BUILDING -CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION 'FOR LAND USE OR STRUCTURE PERMIT 0.0
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 most 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 Resalutions Nos. 45-133 and 47235.
SET -BACK FROM PROPERTY LINES. In most cones 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 *it
Meme of Owner ,4 7 Cons f, Address 5 37o q Cou rf /and Phone Y13- .'/6J
Architect / Address Phone
Engineer /% Address Phone
Contractor /�•r"••��, Address Phone
Legal Desc/ipticn yfmP,rope(Give complete desirr iption from deed. tax receipt etc.)
ln7' i/ /nck / Myra yr �s 1`d:ec • •0
DESeRIPTION OF WORK: New i" Addition Remodel Moving Bltl . Z ne < FireiZ%ne� L—
Size Lo /e' '. / 9 x 7 y7 7 3AB Sewage System i Conan ! r•I-,” e
•, f Fr.,
Stories dimensions air% 4s4 iVI� / Total Sq rt /76 W Valuation -72 00200
Rooms Baths Basement Foundation Const Cn ^ e ^e t° Chimney Fireplace r�
//��� Full, part, non All
(Kind) (Numb
Heat. System G L4 Type of Roofing CC zt Finish A✓ l el d Int Wall Finish b!r/ Wd i/
Use of Bldg. KPS e./rn.r PJ Q.3r- a ql /r // No. of Units _ Bedro/oms
/ / PLOT PLAN Nd Tya;n!/. ;sAed t., 6dse
1/
Mcn II -
Draw
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 dimension of buildings; (6) location of sewage sys
tem and water supply lines.
N
Y
NORTH
REQUIRED
Plumbing Permit FAsc 4
Heating Permit -Sao "A(
Le Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as ahawn.�l. //ft 1 � �� este ,' / 7 r
"•l/ Owner or Age t to !/
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
fa.l 7M DO NOT WRITE BELOW THIS LINE
p i
Your street address will be Ci 1/0/ -1/4f4 zoneis
Sewage Permit Number Issued Building Permit /) t/e/Receipt B ;
Remarks
Issued
form 523 Bldg. Code .r.
i