1973, 08-07 Permit App: K2448 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, 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 building or structure of any
kind or alter any building or structure already erected, or to change a land use. Construction must conform jitb 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 Cisturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's OffiCl.
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
Name of Owner
ddress 4"/022E Phone fe_ i' -//yip
Architect �i��/ i Phone Ragineer Phone
Contractor ,e�i✓if%ii� ,r2.7G� Addressjo� 7-11-- Phone / e' - /S
i
Legal Description of Property ( e complete description from deed, tax receipt, etc %U r
. DESCRIPTION OF WORK: New ✓ Addition Remodel Moving Bldg. Zone / Fire Zone
Size of Lot /t/0 -/0a - /oo- iO
Const fpis.-+- • Dimensions `F $- le �' nra.
(Frame, concrete, brick, etc.)
Roomsl1—Baths 17, Basement / C(.1U �Foundation Const t®st-r . Chimney & IC- it Fireplace J
(Full; part, none) " n /� y ,r, (Kind)
Heat. System Ca s fr/�� Type of Roofing 4 4t/j Ext Finish ,/j -La( Int.,Wall Finish r�-yP•
Use of Bldg. / I oe Ja.,._EA ter -2 set
r !!! No. of Units 1 Bedrooms
c or Carport Attached
Sewage System 5.%' Stories /
Total Sq. Ft. '1 0 .A 8 Valuation, c3,4 aaO
(Number)
71
wl
N
PLOT PLAN
aw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
sed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
and water supply lines.
NORTH
9TH SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
▪ Heating Permit
• Sewage Permit
-I
Plans Received_
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as show=.
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
dclIs 1S NOT A PERMIT.
t cn- /� /
our street address will bej. /� o�' / / z?Jl G;LQ,^y, The zone is 2 q �.N
Sewage Permit Number Issued - , Building Permit /,/ ,,.Receipt 3) 9() 'Issued
Remarks
DO NOT WRITE BELOW THIS LINE
Form 523 Bldg. Code
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The South 90 feet of Lot 12 Block 2 Chester Terrace Addition
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