1973, 12-17 Permit App: K3411 Repair Fire Damage County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT i
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 ) , , ' c� .9,244, 0(
/ ,
Name of Owner.._ ,.4- -- - - -t...&i..I .E,e .ddress • 670,...1 .o_ ..a _ .0 Phone '—
Architect Phone Engineer Phone
Contract or_dan, i.- Address /J Phone �[
Legal Descry pts on of Property Give omplete -script ion )rom deed, tax r�cei.t, etq.)/'./LS-rie�#.2/5'V -9/0�
S . O 3/i W = Ar:_ A A . SA---74-e-- A9,444"1-1—
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�7 c Le-- .
DESCRIPTION OF WORK:New Addition Remodel Moving Bldg.Zo�n
ye
-- / Fire Zone
Size of Jpt go ,v3,14(/ ./ Sewage System (n�42L4441 Stories 4
Const4 -# 444-t Dimensions 0 X .24' Total Sq. Ft. 7 C 6 Valuation 41,5-410 47(Frame,concrete,brick,etc.) [I ' -r
Rooms Baths Basemen�Foundation Const. - 1A_-144i Chimney ' Fireplace
WI, part, none) r / (Kind)
Heat. System .4A, , type of RcWing S '! t. l;inishe� Int. Wall Finish hi
Use of Bldg. '0-400.-4U.4-•‘.2(-/C-4-e„, N./XNL1-44.P L-z � t„:“.20-44-a- No. of Units Bedrooms 3
Garage or Carport Attached Private Detat.ched
PLOT PLAN
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.
NORTH StateLicense No.
, ic
Ind. Ins. Acct. No.
mitt-ez:::: 40-64-ri-ii-g--el_ 91:a
Ect:L,,,xt-iAt' REQUIRED
z,LL ,dct,z e- 6-...., 6C% f" Plumbing Permit
m Heating Permit
rn --
in N Sewage Permit
N y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up_
Plans Mailed
SOUTH
I ehQin r./ify itfo on submi;.•d is cor ect :) d there are no other struct - loc: ed on this property except
as shown. {
: u_ �L n , . _t. _ L� —
—
Owner or A:I:lit Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFOR r CONSTR CTION COMMENCES.
THIS IS NOT A PERMIT.
CA
DO NOT WRITE BELOW THIS LINE p.�
Your street address will be Qom), /'TO 3 /J t-Oi. C ,( '�y"//// e zone 1 ��!-!'A.I.C�LL(fiQ�.
Sewage Permit Number • Issued Building Permit r1�� ' I Receipt 426,5 Issued
Remarks I
at /144i I'C(J (bp
Form 523 Bldg. Code S. EA' ,, 3Y 0_4g t'y't•��'I"`'"�"'" --- ^"" �