1975, 04-28 Permit App: K7376 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, 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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner CEAJ! E 1i0.1.+ E'S Address Phone � 2'J �! %'
Architect
Address Phone
Engineer Address Phone
Contractor FRAtVk 4A1 DD A) Address Z= /719 a/ lva «--cI4 Y PhoneCL9 --69
Legal Description of Property (Give comp) to description from deed tax receip , etc ) 026-143 - �°)0/
in - 1, A/k / , lin.12,444 P/aa' il /k'� //,DD1rJo4 , 0 ,, Ord ,„. -ib /a
r'erorrte�4 ih Vn/ // 4J PIaiS /r ih �Sp D,f'a�.` 0 �1 y i'L
o
E 1701i W/Cti .CS
SPof4G - 9L2i&
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot x y 1 r
Stories Dimensions 'c2 X °ly
Rooms if Baths / Basement Foundation Const.
(Full, part, none /1
Heat. System L136 Type of Roofing LOh/1
Use of Bldg.�e -4-r �C e, -•.c�2
Moving Bldg. Zone /
Sewage System SP c.,
Fire Zone `13
Const.
(Fr., Conc., Br., etc.)
Valuation c2/ 90C
Total Sq. Ft. / (P
52 l LMT '4 Chimney
(K Fireplace (Number
w00 D Int. Wall Finish
No. o Unite L Bedroo p
Ext. Finish
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locati
'proposed buildings; (4) distance to property lines and streets; (5) dimensions of build
tem and water supply lines.
NORTH
44A14J FLoa R V7
"rp-/4 FiN lJ E-33, SQ T
(ck_e
SOUTH
er'eby certify information submitted is correct
as sh n.
and there are no
m
a
ons; (3) location of existing and
ings; (6) location of sewage sys
State License No.
D/ — ! / / bDS
Ind. Ins. Acct. No.
IS
REQUIRED
i " �
Plumbing Permit ^Q ,
� —4--
Heating Permit A �Q� �p
Sewage Permit ( -
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures located n this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
The zone is
ding Permit A-4),�J. Receipt %499S Issued
Form 523 Bldg. Code
Basic:. Rancher
Sq.Ft: 8Li!6
7
1 i? INANE / 5 M �A t
/5
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7c .37
Aueusr4
Spokane Connty, Washington
Job #: 37 Address:
Power Co: Water Co:
Plumber:
Muelle Excavator: Eller
Rosa
SPECIAL INSTRUCTIONS: