1973, 05-24 Permit App: K1771 Residence6
cn c County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
`APPLICATION FOR LAND USE OR STRUCTURE PERMIT f��
GENERA'S LREQUIREMENT5 PERMIT FEE
PERMIT REQUIRED. rA land' use or structure permit is required by Comity Resolution to erect a building or structure of any
kind or alter any, bun (ding or structure already erected, or to change a land use. Construction mut 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 liliglneer'a 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 tront 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 car. not bring action to enforce covenants or dedications.
APPLICANT FILL 111 BELOW THIS LIEIE f7
Name of Owner Moiv-f w L• Address Phone AL -S - 637 /
Contract orGCAjG /9. !3c Whea d Address S. 11 i, P9I2W reel-479.264Phone (,J�-t/-3Se )ib
Legal D ipti f Property (Give complete desccaption from deed tax receipt etc.)
Architect _ Phone Engineer Phone
escri on o op y
to f- /2 Blot !-r 1 aunt it ill/ i.1- f7/r(Pc Ai
Aat
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fire Zone
/d Sewage System sra+FC- Stories
H+C.. Dimensions :� X 3 2' -2 y X.ay Total Sq. Ft. 2 y d Valuation 3/ .'i0 O Ob
Size of Lot
Const Fit
(Frame, concrete, brick, etc.)
Rooms 7 Baths e Basement r •+ 11
4Full, part. none)
C
Heat. System L /r r +'V! C. Type of Roofing Can, e
/l
Use of Bldg. d G C rr
Foundation Const
Garage or Carport Attached
X
OA*Jr reT-1 Fireplace
L / Chimney /'
Ext. Finish 1? e Si d d F AMI Int. Wall Finish ,y r y W z77/ /
No. of Units Bedrooms aL—
Privtte Detat c hed
(Kind) (Number)
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.
as shown.
State License No.
.24_3.2_01_1_122Z—
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
E�gc)e; oa
Oak •STFEFTPI
w�s�
s� _. _
•
_tion _ -..,,
.__,a and thereare no structures located on this property except
'
"ler ay- Z3
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
12/0.2/2 stgr&A
Your street address will
Sewage Permit Number r' Issued Building
Building Permit
Remarks L '.��r O e -ti %{ i ,N
beJ g / g p494,,,,z.., t_O-vf-i The zone
Receipt
Form 523 Bldo. Code