1973, 08-31 Permit App K2654 PorchOwner or Agent
County 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 mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Rater 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.
,7 1 APPLICANT FILL IN BELOW THIS LINE
i� q��c '
C� /
Address ; / 7 7''Fc� L
.3 :L Phone VA-- �- / 7/J
Engineer / Phone
Address %%��_�---� --_,� Q�Phone
(Give complete descripti n from deed, tax receipt, etc.) ii'a2�Cte gg 6-s-2 3 /.5"-U
Name of Owner �J
Architect Phone
Contractor 4_,L,
Legal Description of Property
7 ' C.,7- / Iry /6.2, 7 XC, /I/ U'Ay
DESCRIPTION OF WORK: New )f Addition
Size of L t C,C ►? (•
Const Dimensions FX'171 0 /
(Frame, concrete, brick, etc.)
Rooms—L Baths
Heat. System
Use of Bldg. /f"�6-C
— Basement --
(Full, part, none)
.Type of Roofing ~74/
Remodel
Moving Bldg. Zone /
Sewage System
Total Sq. Ft g
Foundation Const
- - -6 4Ck�
Ext. Finish
Garage or Carport Attached
1 / 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 a'id streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
Chimney
Fire Zone
Stories
000"—`
Valuation
Fireplace
(Kind) (Number)
Int. Wall Finish
No. of Units
Private Detatched
Bedrooms
NORTH
7
k�0
zeZ
it0
W
a.
PI?tAnivAy SOUTH
I hereby certify information submitted
as shown
is
correct
and
there
are
no
other
State License No.
Ino. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be ' / 7
Sewage Permit Number Issued Building Permit - '(
e zone is
Receipt .Issued
Remarks
Form 523 Bldg. Code