1974, 04-15 Permit App: K4236 Residencev
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
VI ' 1,
GENERAL REQUIREMENTS PERMIT FEE
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 6
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of
kinany
d 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 Count9 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 HIGHWAY6. 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 enforcepcovenants or dedications.
Name
APPLICANT FILL IN BELOW THIS LINE u�l i.°.A�l_i7.L(.
of Owner ddress 9.zrr �% /7/Is/cru Phone 9af '%21 Z
Are
•
Contractor -174-tyE Address Phone •
h itect Phone Engineer Phone
Legal Description of Property (Give complete description from deed, tax receipt,
JZ.a,c / / /•fa h %,C Aria.
etc.)
DESCRIPTION OF WORK: New C.- Addition Remodel
Size of Lot90X r.32
Const an Dimensions -2YIC l° 't 22 X 21 A,tber-
(Frame, cconcrete, brick, etc.)
p
Rooms Baths Basement Fo-c,- Foundation Const
(Full, part, none) �1
Heat. System TA. EL4Z1R/CType of Roofing //�t'�'li'c-/1—
Use of Bldg. %71`r7ic y
Garage or Carport Attached
2 C97L
2G,—a.5- 2[3
Moving Bldg. Zone / Fire Zone -3
Sewage System r4?/7 C Stories 1'4
Total Sq Ft ^2 %6 S Valuation cf9 U>-0
Cox, c.e Err Chimney /-743• Fireplace Z
(Kind) (Number)
Ext Finish f00ayd A'3t0 Int, Wall Finish 434e'Cu/,fi.c
No of Units Bedrooms le
PLOT PLAN
CDrawesketch 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.
Private Detatched
11
m
CA
ti
NORTH
nev
SOUTH
State License No.
.2Z7 e t /S9/6
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
yD, Sewage Permit
H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certif for..:tion submitted is correct and there are no other structures located on this property except 7 1Y
as shown.
Owner or Agent Date
A LAND US OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
c9A4 34,14_0 DO NOT WRITE BELOW THIS LINE
Your street address will be.
Sewage Permit Number Issued
Remarks
f
Building Permit
e zone is,R— 4'v4-1'
10,34Receipt i'?/6, Issued
Form 523 Bldg. Code
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