1974, 12-06 Permit App: K6429 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 mast 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 LINE2tt_‘79-Zi�
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Address a 31U �' 'r`r-t (-c,c,=- - Phone g-^ g- 4;6'
Address PCtiAit/ 471/ - 9 9 /+ Phone
Address Phone
Name of Owner
Architect
Engineer
Contractor 54a71/14-— Address Phone
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Legal Description of Property (Give complete description from deed, tax receipt, etc) ,/4`5- 3-2
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or/ /3h.K3 'Vez.ett,/V cri/Z (GL•
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot / A/o A /I <5 /
Storiest-�°1'C%
Dimensions .1 / -,X 4L J Total Sq. Ft.
Rooms _ Baths Basement _a Foundation Const _Cf,_�wt.�-,c -t1 Chimney
(Full, part, none
Heat. System , 4 _ L- FA ',Type of Roofing
Use of Bldg.
Moving Bldg, Zone / Fire ne
J'�IL onst.`- 1,P --
(Fr., Conc., Br., etc.) , U
Valyation -1-qi-5
✓ --grit's Fit place
(NOIL
Ext. Finish r- % i i Int. Wall Finish
=p No. of Units _ Bedrooms A_
PLOT PLAN
Sewage System
(Kind)
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-
tem and water supply lines.
evt
iA
NORTH
224 LC Cat ,P.Lfrt-
SOUTH
I hereby q tify informatjon submitted is
as shown,
correct
Owner or Age
A LAND USE OR STRUCTURE P
THIS IS NOT A PERMIT.
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State License No.
OK —Cj!
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except
•
/:2-6,-7171
Date
MIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be pd 17
The zone is 6,4
Sewage Permit Number Issued Building Permit 'tit y/Receipt Issued
Remarks �1
Form 523 Bldg. Code
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