1975, 04-28 Permit App: K7377 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
(7-
r1v7
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 GE,t/ IE 170ti1k 5 Address /7Da 1 E GfieLCt C Y Phone 90? 9 -% 9 9 7
Architect
Address SPo�,vc 9�2J( Phone
Engineer Address Phone
Contractor rreA k 14,A n €iJ Address 170.2 a L «' �� r'�j Phone 9`241---1-44 y7
Legal Description of Property (Give complete d cription from deed, tax receipt, etc 1 0 — -
DESCRIPTION OF WORK: New T Addition
--TF )( /39
Stories Dimensions Y °7 J
Rooms Baths 1 Basement la Foundation
(Full, part, non )
Heat. System E843r7� Type of Roofing CC)h-i P
Use of Bldg. RL.O l.l�-.t.wo -e J
Size of Lot
Remodel
Moving
Sewage System
y
Const. Cm^-^
aw sketch with dimensions showing: (1)
osed buildings; (4) distance to property
em and water supply lines.
m
NORTH
Ext. Finish
Bldg. Zone / Fire Zone
-- ' Const. �Br., -2_ )
/' (Fr., Conc., Br., etc.)
Total Sq. Ft �7 6, Valuation c ?/, 4/00
WO op
Chimney Fireplace
(Kind) (Number
Int. Wall Finish
No. Units ,Bedrooms
C
PLOT PLAN G�
property lines; (2) street or road locations• (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
41 aArru FL
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tit
(sit dic,e,G4
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit �-� /o .Q
'r iA
Heating Permit k'nq-i ..44
Sewage Permit C. ,b4
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 looctjd on this property except
shown.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
A042_ '
Your street address will be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
�aI
Issued
The zone i /s� Pi.____42?:›..c._____
Receipt 7V5 Issued
Form 523 Bldg. Code
Basic:, Rancher
FHA Case#:
6
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71 -ttl
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Leal: Lo B.1, Amended Plat of Kim Addition, 4ccordin
Sq.Ft: 846 9 to Pli'.t recorded e in Vo1.11 of Plats, p.1 , bpokane o.Wa.
Job ##: L Address:
Mortgage Co: Bancshares
Power Co:
Water Co:
Plumber: Mueller
Excavator: R Rosa
SPECIAL INSTRUCTIONS:
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