1975, 04-25 Permit App: K7341 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
/ 70 a I E %t%CC St-,e.-1 Phone 91.' y 4'1 ?7
Name of Owner l�� A/ (� OMEN Address
Architect Address SeatA-0a 99°2/4,. Phone
Engineer /1/1/1 Address Phone
Contractor .R/IA/k O1F_i 02
1✓ Address / %0/ E ��[,Ce�SGEY Phone 9o75Y - / q
7
Legal Description of Property iGive complete desc iption from dAeed, /jax receipt, etc.} 07.5 13 - 6, 4/
0T it 3LDcK �, hum,tcX ►'° %a- 07C- ti h. 4Po,T7O�V , occf, rr�tnfj
4 p 14- re corce.te 14 /. /1 d f Ply 1$ , • / k t o /f
Spn>` C u ry WASH
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone / Fire Zone —
Sewage System -S T Const.
(Fr., Conc., Br., etc.)
Total Sq. Ft Valuation o?J C'C'
Size of Lot
78. 37 x ) 4'O
Stories _! Dimensions 3-2 x
Rooms 1/ Baths Basement Fu u-- Foundation Const.
Full, part, none) y �'
Heat. System L=- "1° 13 i3 Type of Roofing Co Cof P Ext. Finish �O D D
Use of.,..f3Idg. IS)E51 0 NCG i „..4.....0 Z
Cone __Chimney
PLOT PLAN
Fireplace
(Kind) (Number
Int. Wall Finish
No. of Units_ Bedrooms
Dr sketch with dimensions showing: (1) property lines; (2) street or road lo ations; (3) location of existing and
sed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
em and water supply lines.
NORTH
AIA
IOTA 1.
Pims/ s Fr y
SOU TH
State License No.
Ind. Ins. Acct. No.
/'9, 6�JA
REQUIRED
Plumbing Permit 4let_e_� 7^
n+ Heating Permit /1 i ARCM - / Iu u'(-1
cmSewage Permit 417/e4 Cc�
1
Plans Receive
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify i mation submitted is correct and there as e /n�oo other structures located on this property except
as shown.�c- Vc/%<S
Ow er or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
8 7 ,(
Your street address will be (�l/� 4'21 .c.C.el • The zone is
Sewage Permit Number Issued Quilding Permit
K--) 3 (Receipt Issued
Remarks
DO NOT WRITE BELOW THIS LINE
,r
Form 523 Bldg. Code
Basic:, Rancher
FHA Case#:
-.n37
d7'
0'1
\Li
gel 7, 2 7
Sq.Ft: 846
(Job ft:
Mortgage Co: Bancshares
Power Co:
Mueller
elumber:
Water Co:
Eller
Excavator:
Rosa
Lot 4, B. 1, Amended Plat of Kim Addition, according
Legal :to plattalsgmjecU. 12121.„11,91_Elatu p.1b. in Spokane
County, Washington
Address:
SPECIAL INSTRUC1!PNS:
.16.1.7111i r _.1.1e=1:1!IUMML