1973, 09-28 Permit App: K2909 Residence• •
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMITs4
GENERAL REQUIREMENTS PERMIT FEES
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
?iL /1 £ 1/-ce-44r' Phone k'A 1f Si t3'
Name of Owner
Architect
Contractor
it
Address
Phone
Engineer
Address ! X b Y e
Legal Descrip ion of Propert (Give complete description from deed, tax receipt,
1,414.4-T90 ° .I / i
Phone
Phone U/A 5-7ab
etc € vs-/2-'C7Y0
DESCRIPTION OF WORK: New_ '`� Addition Remodel
Size of Lo [ 0 I 3 /IP—
Const.4 -i' ,f, Dimensions A 4' ' X 4' ' -/ r2 y)e.z 4 44.
(Frame, concrete, brick, etc.)
Rooms 3 Baths _( Basement Foundation Const
^� (Full, part, one) /+
Heat. System LnA S !�- Type of Roofing G e'YYtijr. Ext Finish
Moving Bldg Zone. / Fire Zone
Sewage System . d Stories /
Total Sq. Ft /Ci 6 I Valuation 1 3 i e-ev
Use of Bldg. Le 1
Garage or Carport Attached
Chimne ' Fireplace
(Kind) (Number
1
114"friii4vy Int.
Wall Finish
vi
No. of Units / Bedrooms
Private Detatched
PLOT PLAN
Draw sketch with dimen ns showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
em and water supply lines.
NORTH
152
<j o
;LV
�CY
�-- I I i o'' ---
_lc
SOU TH/�
I hereby certif 'nformation sub 'ttgd is correct and there are no
as shown`/
xr
Owner
A LAND USE OR STRUC
THIS IS NOT A PERMIT.
' yk.X/ 4-4Li � lea l6 DO NOT WRITE BELOW THIS LINE
a
Your street address will be,////7V CA. 2 = _ o , A ) G�zt--c-.). — The zoned"i�
Sewage Permit Number Issued Building Permit, L/ Receipt,
m
-I
State License No.
-3-cn/- 6 2S3
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures located
on this property except
r -77-7.g
Date
ERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
Remarks
0
Form 523 Bldg. Code
4
LEGAL DESCRIPTICN
Sketch showing legal description of the West 90.00 feet of Lot 14, FAIRACB S ADDITION
in the County of Spokv_:ne and the State of Washingt
0
1
,1441.&(
1= 2c -.D riCAVE
o
0
N)
'J
(7,
90'
4-2.7' I
Ir31
F`Al2Vkva
e_, t"= �._-;c�
-Sasr. Z9, i �3
LAND -MARK SURVEYORS
SOUTH 726 UBERTY DRIVE
LIBERTY LAKE, WASH.
255-6159