1973, 03-01 Permit App K662 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 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 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 covenants or dedications.
Name of Owner
Architect
Contractor
APPLICANT FILL IN BELOW THIS LINE
one
ddress TG f7��2 ,��'� Phone 7/�73
Engineer Phone
Address Phone
Legal scription of Property Give mplete description from deed,
-�� 54 — pB Ai3
DESCRIPTION OF WORK: New IC-- Addition
Size of Lot /SCE X c
(Fra'` r Dimensions
(Frame, ncrete, brick, etc.)
Rooms Baths _ Basement Found
(Full, part, none)
Heat. Syste
Use of Bldg.
Garage or Carport Attached
Type g4t.00fing
taxreceipt, etc.)
L /l
Remodel Moving Bldg. Zone / Fire Zone
Sewage System ....,,,e, Stories
'r—.2-.2 )( Zy Total Sq. Ft Valuation
3ov ' s N Q.4sSMr /V7 ,:r.a.3a.
at n Const ec-, e -a Chime ireplace 7
%� (Kind) (Number
Ext Finish 7.244 -Int. Wall Finish
No. of Units Bedr oms 3
Private Detatched
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.
en
1
Oo
NORTH
D I FT woof) DI?
iso`
4 PP
SOUTH
I hereby certify information submitted
as shown. -�
Owner or Agelit
A LAND USE OR STRUCTURE PERMIT M
THIS IS NOT A PERMIT.
c or
State Lic�o.
Ind. Ins. Acct. No.
REQUIRED �%�
Plumbing Permit -los-r'-7- J
en Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ect and there are no other structures located on this property except
Date
ST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be 72 / 7 )/r
Sewage Permit Number Issued
Remarks v%
Building Permit
The zone is <‘.
Receipt 17%`7 s�<.
sued
2_ v
yr
Form 523 Bldg. Code