1975, 04-08 Permit App: K7163 Residence•
4
County of Spokane, Washington
I
BUILDING CODES DEPARTMENT. N.811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
669
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 cork 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 47235.
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 throng
h civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BEL •,S," THIS / 997/4 p
Name of Owner .7 / / / / Atldres- I /a Phone 9.-7/1 2`!Y%
Architect Address Phone
Address Phone
Q/j/J///jXJ(/�jJH Address . Phone
of Propze ( me tap to description from deed, tax .tipt etc // S /i /
Engineer
Contractor
Legal
DESCRIPTION OF WORK: New � Addition Remodel Moving BI Zone Fire e
Size of Lot /3O. f'e2 Y eft 9 ® -1-- //7.41 X /O? an sewage Systerp Z� Con
/ !!// _- f Br., etc.)
Stories LDimensions .fe r}Y�tf.j.J .r/,Y,.1 y, Total Sq Ft 22/� Vale i.d O ,Fl9'y7
Rooms _.'�Baths -$ Beseme ou tletion Const •.rt�l Qh r/i�I Chimney Fire ce
`Full, part, no (Kind) (Number
T pe Roofin •, lri' i .� r Ext. Finish 7 /l/ Int Wall Finish
���.. �/J., i /' No of Units_Bedro s
Heat. System
Use of Bldg.
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
SOUTH �G
State License No.
as1_0/ sees -
Ind. Ins. Acct. No.
0.E
Plumbing Permit
ED
Heating Permit /-
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify injgrmation submitted is correct and there are no other structures located on this property except
as shown.
Diner o gent
A LAND USE OR STRU TORE PERMIT MUST BE
THIS IS NOTA PERMIT.
Your street address will be
Sewage Perm1J. Number :Issued
eardort/2./
K -'-7J
Date
THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT _ RITE BELOW THIS LINE
Remarks i.C•
•The zone 1
Building Permit iC 7//, S Receipt