1973, 02-02 Permit App: K477 Residence1
•
County of Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMI
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 distucbs
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 44235.
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.
S TATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and Ingres
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 OP 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
w ch are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
N�me of Gwnerj.Q•ti tit.atsh�l.--address Phone
Architect�p ne FLglvee/e/ Phone /
Contractor. —// t-%�ir'�tldress Mi A.476 l /?/ ?4,2/K Phone to -2957
Legal escription of Property (Give complete description fr deed, t receipt, etc.)
a/t.r_c-Q_ -a D:T- '4'/ - "'Q.O / / 11Cd{',ct_e!f ri' 4 fl s" a-4. -a-la a i
(2i/tzc `%.ra Le
DESCRIPTION OF WORK• New /VAddition Remodel aving Bldg. Zone / Fire Zone
Size of Lot /5,3. k5 7 \ / c? a 4 _ (��d=$Sewage System -b11 i� v Stories
!'-y+ Dimensions /le/'(-f1d.«e.0 7 Total Sq Ft./�6y/J Q Valuation
(Fram� creta, brick, (�"°"'� �-
ooms Baths _,-.0 w ent Foundation Const.
ey Fireplace
u 1 :art, none) p e - 'e (Kind) (Num er)
Heat. System L ype . Roofing S -�1 r.C1a�Ext. Fjnish nX -L/ Int. Wan Flnl
dg. .I/Lai �a _ _ _� !«_ No of Units / Bed Bed o
Private Detatched
PLOT PLAN
Draw 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-
em and water supply lines.
NORTH
as
State
e/ - ���fe-/
Ind. Ins. Acct. No.
REpul`7�+�
Plumbing Permit
Heating Permit 1 /
N Sewage Permit
4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
eby cert if information submitted is correct and there are no other structures located on this property except
a- -i
Owner olk Agent' Date
(LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
HIS 1S NOT A PERMIT.
DO NOT WRITE BELOW T 15 LINE
Your street address will be /J 1 /// •e zone is
Sewage Permit Number Issued Building Permit 7 Receipt ((-
Remarks
r'Remarks
4671,
Issued
Form 523 Bldg. Code
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