1974, 03-27 Permit Application: K4014 Residence W/GarageConn #y of Spokane, 101,04kingtOn
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLI CATION FOR LAND USE OR STRUCTURE PERMIT'
GENERAL REQUIREMENTS PERMIT FEE
kkindITor EQaltter anylbuildingoorsstructurre a lreadyserected, ory touchangesalland use. erConstruction n structure
must conformwith 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 least 25' F is required, al 5' side yard,z15' side yardrfrom set-back fr rear the
yardfront
areproperty line, of at
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 e
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 k
Highway, clearance must be obtained from the County Engineer and /or State Highway Department.
ACCESSORY BUILDING'
UILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
which are Venfefree ble Builders provisions
covenants or
bringdactionntoaenforcecovenarunning or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of 0-w-n-e-r76 c #j c. f; . ee c jedid !U fi=' Address 95 O 9 6°, jJ o R a
Architect Phone Engineer
Contractor S net c,. Address
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
11.1es" /00 F-4- ot= akISZX L ®f 1 - 8/0c
a+.4.) ii�19S / 1d ,�rC 'p7-- JCs 1 7
DESCRIPTION OF WORK: New ___e___. Addition Remodel
Size of Lot / 0 O X cr 4
Const F22 1111 c. Dimensions l8 X 3 2- - el ► e °*'f' - /1/X = Total Sq. Ft.
(Frame, concrete, brick, etc.)
Rooms .S Baths Basement ru i 1 Foundation Const Co Nc v C• 4c....
(Full, part, none) / Int. Wall Finish r W
Heat. System Eke-JA" 1 Type of Roofing Hn+ Poo t Ext. Finish `
No. of Units _t____ - Bedrooms --3'
Use of Bldg. (r'PS�,a�'An]CC.
Garage or Carport Attached E H 4 (1+e 2. 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-
State License No.
Phone
Phone
Phone
Fire Zone
Bldg. Zone (_
Moving _
Sewage System ..—
_ Stories
� �T -1 0
Valuation—
Chimney
Fireplace
ind) (Number)
tem and water supply lines.
m
S
39'
I hereby
as shown. _
RI if
3V
Jo0'
/41'
1. -oI -
Ind. Ins. Acct. No.
/ 1 1 74/
REQUIRED
Plumbing Permit
m Heating Permit _
Sewage Permit -
Plans Received -
Plans Checked -
Plans Returned.
Plans Picked Up
Plans Mailed
rtify information submitted is correct and there are no other structures located on this property except
.z7 - 7
!AV 1L
Owner or Agent Dat .,STenRTdeN COMMENCES.
A LAND USE OR STRUT
THIS,IS NOT A PERMIT.
// ` �,:♦
la
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
7
Issued
Building Permit
e zone i
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