1974, 03-15 Permit Application: K3896 Residential AdditionCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEES
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 w -itb, the
Spokare 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
eierformed 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.
go1v
Hot-
APPLICANT FILL IN BELOW THIS LINE
oA541-
Name of Owner ' 4h,i1 ( C .7, Tait-/ivS70/1 Address 4.J `/'7CO 11-1).4/,15 phone S- 5-70/
Architect Phone Engineer Phone
Contractor BiL,R INC AQ —TO N N S7 b l✓ Address l fu f7 y e . SPe/36,v617 Phone Cf.) Ao ---57c /
Legal Description of Property (Give complete description from deed, tax receipt, etc.) /.o7 /O.. e�(Qfe,.Pi 71NE (0657 -
/V4 417 F7 ei ` i .75 y . 4 .Sc 1,07- ii - 1...: d(e. e/a r ri4 e u/ .s r 542 7-2- /-76"4: r of So v ri-F
ISM F7. iiv ,e/ Ai ,s Lit..)/ v /S. on/ / W :me" de o/.-T)/ e Al ..5„*".e,v 4.161"
c ' - // — GIe /-2_
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg Zone
Size of Lot af,JZ.t 'L2 - Sewage System
Const. rehlfil C Dimens of ns Y$ 'x l / Total Sq. Ft. /OS'
(Frame, concrete, brick, etc.)
Rooms . Baths / BasementiVeWC Foundation Const
(Full, part, none)
Heat. System0l1-- PA • Type of Roofing 0 tO /17 P. Ext. Finish ? E _ p, .e
Use of Bldg. k 6-6 / £ 6-A/ ( c ( /% /) %--
GCs/G.2CTe
Fire Zon-e--3/
Stories�r�
Valuation
Chimney A f) Fireplace /�
(Kind) (Number)
Int. Wall Finish (-yp. 204-klij
No. of Units / Bedrooms .__/___
Garage or Carport Attached 9-G- Pr
/ PLOT PLAN
sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
pro osed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
ivate Detatched
m
NORTH
_Ake aradi
m
N
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify informationysul pitted is correct and there are no other structures 19cated on this
as shown.
3//-5/7%
or ent Date
A LAND USE O - RUCT RE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
property
except
DO NOT WRITE BELOW THIS LINE
Youestreet ^address will be
Sewage Permit Number Issued � ' aj Building Permit Receipt 5'" Yo(o
Remarks
at? /27
e zone is
ssued
Form 523 Bldg. Code
LEGAL DESCRIPTION
Sketch showing legal description of Lot 10 ( Except the west 146.68 feet of
north i5 feet.)
ALSO Lot 11 (Except :he west 147.72 feet of south 85 feet.) in KING SUBDIVISION
in the County of 3ponsne and State of Washington.
LAND-MARK SURVEYORS
SOUTH 726.1113E1M DRIVE
UBEF;T? 'LAKE, WA$H.
255 -6159
4'1 1Z
FOR BLDG. PERMIT USE. ONLY
1
Scales 1" = 100'
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4.44 r -770o Al 4.34,41,,s
BLAINE JOHNSTON CUSTOM bLDG.
P.O. BOX 14393
OPPORTUNITY, WASHINGTON 99214
928-5700
/5-0
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BLAINE
P,O, BC. 233
OPPORTUNITY, WASiiiNGTON 99214
928-5700
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