1974, 10-18 Permit App: K6081 RemodelCounty of Spokane. VNashington
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 bullding 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 'Waugh civil action. County Officials can not bring action to enforce covenants or dedications.
Name of Owner
APPLICANT FILL IN BELOW THIS LINE
Architect _
Engineer j
Contractor RC
Legal Description of Property (Give complete
P27 5L/C // - JSEQ .E', ,L/1/.
To Poli.
Address
Address
Address
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Phone92 2-/2 4
Phone
Phone
Address Q Phone
description from deed, tax receipt etc 1 ^-Q�N'/� �O 73�1a
//o N,o�SE•CLVR.TJ��Id/3oo`ry,_A/,70/7H�"3oo/570`
DESCRIPTION OF WORK:alt-19°-
���New Addition Remodel > Moving Bldg. Zone --/ Fire one
Size of Lot k (2/!.-y . Sewage System rinnii.1r.U"
(�/ (Fr., Conc., Br., ew.b
Stories / Dimensions .ga-el-t40 /e9 X /6 APP /A/ A52,4 -1,5.417 -Total Sq Ft /SO Valuation •2 `tea
Rooms Baths Basement — -Foundation Const Chimney Fireplace,---
Full, part, none)
Heat. System
Use of Bldg.
•
,� I'^ (Kind)(1 (NuJnbefe
Type of Roofing ��taa� Ext Finish '"'wy%" Int Wall Finish ..NA. /t
1 ,.v •�� � �-��.:: ___•-_•--- J- _ = .c=1 - o of Units_ Bedrooms
ern
) / /
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
err
Vi
NORTH
PLO PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
..Piv�Llt-Q(� iOQ L�i/}-t1--0-N'u ..LiYti
19 r-tee-
AltPROV ED AS NOTED
r; _ OK 1 HEALTH DISTRICT
irate •-
I hereby
as show
rtify in
SOUTH
ion su itted is correct and there are
ner or Agent
State License No.
Ind. Ins. Acct. No.
SPOKANE COUNItbialitieNG COMMISSION
APPROVED AS NOTED
Plumbing Permit
llATat�P"PexmiL� / of j {�l
Sewage Permit
Plans Received
P
P1
no other structures locat-d on this p .perty except
—/8-7-71
Date
A LAND USE OIYSTRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
0“o9 7f • l 4GL The zone 1aa7` AAA
Building Permit doss/ Receipt FSP / Issued /0 -a/ -.7 y
Sewage Permit Number Issued -
JItemarks
ifird-rarnn
Form 523 Bldg. Code