1974, 11-29 Permit App: K6310 Residencew -..►
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT `/�
GEN F,RAL REQUIREMENTS PERMIT FEE .517
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 rater connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained Prom"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 covens is orit-4_4-44dedications. /
/ASL
APPLICANT FILL IN BELOW THIS LINE
Name of Owner a///^.�77w ddress cl /4. E ` - Phone `/. y -ii -Y3
�. �
Architect / Phone Engineer � ..49 Phone
Contractor (p p rc,e, u 'XrT Addrdss Phone
Legal Description of Prone y(ive complete description from deed, tax receipt, etc.)
3PS'!3 SYo2 �� tv�7s-9 �.+�.t�/ ,5'Cv3 � Y8
zt a _ ..x�-s;
J/
DESCRIPTION OF WORK: New - Addition Remodel Moving Bld Zone Fire Zone(
Size of Lot �� /001 X (3/0./ t us�ey�'a�ge System �•- Stories
Const. ih-tt i Dimensiony�1'T x/ Srkil-411 X 311vi3%'.1�irPolarsq Ft 22 Sc Valuation a 9 o-rw
(Frame, concrete, brick, etc.) ,P
Rooms 4' Baths Basement Foundation Const. Caan-G- Chimney Fireplace
ppe (Full, part, one) 4.24.414-
. / ®,.. a�� -f-(Number)
Heat. System ae7 Type of Ro log`'24. ,.Lr Ext Finish 1/44-e..-titr Int. Wall Finish /^ O.ny(
Use of Bldg.dfi No. of Units t Bedrooms _3__Gm^ag Gage Carport Attached t,�uti ei"Nl.0.rifsWs.[I Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (I) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and street 5) dimensions of buildings; (6) location of sewage sys
tem at}d water supply lines.
SOUTH
I hereby certify iggformation submy$ted
as shown.
or A
a z3 -a/ -G3
Ind. Ina. Acct. No.
9/-0(e-785,7
REQUIRED
Plumbing Fermi
Heating Pe
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
s correct and there are no other structures located on this property except
Da
7y
A LAND USE OR TRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS'IS NOT A PERMIT.
�f
DO NOT WRITE lBELOW THIS LINE
Your street address will be /fin 0c4' w.41 ,[3�/ The zone
Sewage Permit Number Issued Building Permit M,�1 /, Receipt
Remarks rtl
at t /✓/
form 523 Bldg. Code