1975, 04-28 Permit App: K7378 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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.
%'r L, APPLICANT FILL IN BELOW THIS LINE
Name of Owner _ CE A,' l E /7 OM Address 170.2/ E L -r. /� Phone
Architect Address jQ0%16-e. 7ca2g Phone
Engineer / Address VV Phone
Contractor �/l./i �n44 �/•iL (C.vii Address / 70ii E
Legal Description of Property (Give complete des iption from deed, tax receipt, etc.)
/ ZL
di! w it • K , arrar
er
Phone �°'` Q- 4. Y 1 /
'
DESCRIPTION OF WORK: New
Size of Lot
IV
___ Addition
x AID
Remodel Moving Bld Zone / Fire Zone
Sewage System =. Const. F! - .-^-�.
(Fr., Conc., Br., etc.)
Stories _LDimensions as X ..21-1. Total Sq. Ft ?I/ 42 Valuationr!l WV)
Rooms y Baths l Basement t<-u- Foundation Const. C Chimney Fireplace
(Full, part, none (Kind) (Number
Heat. System E. 86 Type of Roofing l �,/�
v
Ext. Finish f'-° A Int. Wall Finish
Use of Bldg. e—•..r No. of Units 1 Bedroo rgsj� c
/
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road loca ions; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
`I 16 -4--u f41,
(s.2_t a_174-azfLt.e
State License No.
.=Vc2 0/ - 1/ /07S
Ind. Ins. Acct. No.
/f '7,
s9
REQUIRED
Plumbing Permit J
m Heating Permit �A ,p
Sewage Permit `[.t✓C.eti - /P i-0A_, ,
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures locate on t}/is property except
as s own.
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(51.1.1 74 ,)
DO NOT WRITE BELOW THIS LINE
Your street address will be Build in e
� i
Sewage Permit Number Issued rmit
The zone is
Receipt 7VV'z Issued
Remarks
Form 523 Bldg. Code
1
7R.3
/5"'
/S
/5'
2y
1�
75.37
1
73
v
Basic; ., Rancher
FHA Case/:
Sq.Ft: 846
Legal: to
P
Address:
Power Co:
Plumber: Mueller
Excavator: Eller
Rosa
8.1, Amended Plat f Kim Addition, according
at recorded in Vol. 11 of PlAts, •.
Co. Washington
SPECIAL INSTRUCTIONS: