1974, 03-06 Permit App K3803 AdditionCounty ofyrokanm, s i lton
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERM(
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.
APPLICANT FILL IN BELOW THIS LINE
Name of Gene
Architect
Address /02 gz ._2 j_ xsue �Ph one
�_ Phone Engineer -s'^ Phone
T/
Contractor ��2c- d-e., c,2-oa-Address 9C O 9 CC"
-/-qt-,y 79 Phone "QC. -GO. -R_
Legal� Description of Proper ive complete description from deed, tax receipt, etc.)
& %Al / ®-G[-Le--te-ca,/
Addition Remodel Moving
DESCRIPTION OF WORK: New
Size of Lot c9 X / 4,0 7
Coast Dimensions / e AC-,,2 d
(Fra , concrete, brick, etc.)
Rooms / Baths Basement Foundation Cons
(Full, part, none) Heat. System oC.,,,�T-ype of Roofingcaretcz// Ext Finish
Use of Bldg.
Garage or Carport Attached
-K�e-cAJ n - 62 S - Sly
Bldg, Zone / Fire Zone
Sewage System O'i�cr�c: ry Stories &7LR
Total Sq Ft .'�T;,7 Viduation e r7n a=
PLOT PLAN
raw sketch with dimensions showing: (I) 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.
Chimney Fireplace
(Kind) (Number)
Int. Wall Finish 4 .r9'Nee a-.
No of Units / Bedrooms
Private Detatched
as
NO
SOUTH
State License No.
0.3023 - a/
Ind. Ins. Acct. No.
REQUIRED
Plumbing Perini
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ereby certify information submitted is correct and there are no other structures located on this property except
ner r Agent
LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
\S--6-2j'
Date
CONSTRUCTION COMMENCES.
Your street address will be
Sewage Permit Number
Remarks
Isyed
Building
�. �. ��. �. to zone is _ "6L_-e
/a1
rn: Receipt I'ued
9
Form 323 Bldg. Code