1975, 03-04 Permit App: K6818 ResidenceAddress it / t! Phone
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ji
GENERAL REQUIREMENTS PERMIT FEE.
PERMIT REQUIEED. 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 47235.
SET -RACK 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 w Address02O Phone 9'.20-447;Z /
Architect ( ( ( /
Engineer ry g /1 rr Address Phone
Contractor .( (( rr Address /. 'r c( Phone (( ((
Legal Description of /r perty (Giveo� mp IhtW description from deed, tax receip e ) 0 114/4c2 - 06 oh/ ore -j
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
Co
(r
DESCRIPTION OF WORK: New _4/_ Addition Remodel
Size of Lot /,CO—/ae --/aO-9/
Stories 17 Dimensions
Rooms Baths Basement fad') Foundation Const
Full. part. none
Heat. System a Type of Roofing S a, xt F
Use of Bldg.
Moving Bldg. Zone �— Fire Zone
Sewage System 5 CConst. fr a .n -a"'
IFr.. Conc., Br., etc.)
7l(3O(a) - 26 .4
/d R a y Total Sq Ft 44 1 valuation nee as a
n o n r' r e. -Q Chimney Fireplace
/ (Kind) (Number
inish PC e- /�27'
a e/21nt Wall Finish ply vim 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 syn
tem and water supply lines.
NORTH
I hereby
as shown.
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
nformation sub„ d Is correct and there are no other structures located on this property except
Owner or Age
,341
Date
A LAND i SE OR STRUCTU PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
-1420,2.2
Your street address will be _r__/±&/..i__4" r/ The zone isr
Sewage Permit Number Issued Building Permit (/g,gf� Receipt 7(3/ Issued
Remarks I�
DO NOT WRITE BELOW THIS LINE
Form 523 Bldg. Cade