1973, 02-09 Permit App: K514 Residence0
40gncels1,43 03o/ 1 I \J
County of- Spokane,JWashingtoo - —
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
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tei U
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 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 through civil action. County Officials can not bring action to enforce covenants or ded feat ions.
APPLICANT FILL IH BELOW THIS LINE
Name of Owner I L ' ' un t 1 /-ddress
Architect Phone ___________Fng ineer
Contractor I<ApP6 t) L:/� 013f; Jn L. Address 3. a S Ce/,%f_
6>21(0
Phone 9aV-D%1
Phone
Phone 92V-,09/1
Legal Desfjr�ipt ion of Property (Give compute) description from deed, tax receipt, etc.)
oee - .io7` �04(JeRoSA /7e&
DESCRIPTION OF WORK: New___ Addition Remodel
Size of Lot /355X ffQ' X ,,5.091 X %709'
Const FRR/hte Dimensions 42f X a9
(Frame. concrete, brick, tc.) �t
Rooms / Baths ) Basement rid/ Foundation Const boater Tb
Moving Bldg. Zone
Sewage System/.. _
Total Sq. Ft.
Heat. System
Use of Bldg
1
(Full, part, none) n ./
pe of Roofing U'c91?. �44 Ext. Finish
04 Vl itz to we ey
forage or Carport Attached l -r A-124-13'Fi 474e Awei
(60 PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locatiogs
proposed buildings; (4) distance to property lines and streets; '(5) dimensions of buir ngs;
tem and water supply lines.
1^'
W000'
Chimney
Fire Zone'
Stories
177(i—
Valuation �?g,_9_5,O.-
_;elk' Fireplace«
(Kind) (Number,rJf /
Int. Wall Finish )OS1177 Li
No. of Units _/ Bedrooms
Private Detatched
(3),/ location of existing endue
(6) location of sewage sys-
NORTH
2heef
SOUTH
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify inforpieyfon submitted is correct and there are no other structure
as shorn. . 7,
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a
Owner or Agent tate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
DO NOTRITE BELO THIS LINE
located on this property except
Your street address w111 be 1
Sewage Permit Number
'
Issued
Remarks tl
, e �= tl
Building Permit Ky../ pareiptzoneiss , 0 O�QguY-=Issued —
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Form
,
Form 591 RI.1., r.,a—
KA PEN CONSTRUCTION, INC.
S. 25 Blake.
Spokane, Washington 99216
WaW4-0771 •
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PLOT PLAN
Requested Price'
Lot Cost
ELEVATIONS:
Crown of Street:.,
Finish Floor
asic: 140Q-5
'HA Case #
T
Job #
ortgage Co.
S9. Ft.
4
L
'ower Co. 1 Water Co.
p 1 WWP
P11Umber -
yle Harty
Excavator
Loshbaugh
r
Legal Block 3, Lot 1, Ponderosa Heights Addition
Address:
SPECIAL INSTRUCTIONS: