1975, 04-02 Permit App: K9443 ResidenceCoun
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ANEArno WASHINGTON 99201
BUILDING CODES DEP
APPLICATION
GENERAL REQUIREMEN
TURE PERMIT
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 with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. 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.
w 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
gado
d
Name of Owner Der i7 r16/e. L Gj1JS 1-: CI—Address
Architect// Ph9ne Engineer
Contractor Dep rnahi (Zvi,J, C Address 2L99 '--- ✓72 i /-
Legal Description of Property (Give complete description f om deed, tax rec,eippt, etc.)
L C37-/2 ii c/ hie s / 'f,_ n-[- T 11 �n k'a me,
2-1-5 c-/ 3 — 5/, 3
901C Err#-
Phone (la"- D.
Phone
Phone 9J ,9C t, .,
112
DESCRIPTION OF WORK: New Addition
Size of Lot ._ X / 3o
Const. r v et Dimensions ? ex,
9 2`f
(Frame, concrete, brick, etc.) Y-
Ro s — Baths Basement 1-r4
(Full, part, none)
att. System ` �C �. Type of Roofing
Remodel Moving Bldg. Zone
Sewage System cr �iC,, Stori /
Total Sq. Ft
/� �s b t Valuation3 5, Ccs n
Foundation Const Cel i'Chimney Fireplace
(Kind) (Number)
00 141}? Ext Finish S % < Int Wall Finish Ltd i I bd ✓ol
i1 No. of Units Bedrooms.
Fire Zone
Use of Bldg. 142,
mcg
Garage or Carport Attached
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street'o
proposed buildings; (4) distance to property lines and streets; (5) dimen
tens and water supply lines.
m
NORTH
cal
ite Detatched
road locations; (3) location of existing and
ions of buildings; (6) location of sewage sys-
I hereby
as shown.
SOUT
information subni
4U- JZ
Owner or Agent
A LA USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
isrect and there are
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on
Date 7 S
CONSTRUCT N COMMENCES.
this property except
THIS IS NOTA PERMIT.
044, 744/o,0
.Your street address will be �� -[-21 �
Sewage Permit Number Issued Building Permit
Remarks
DO NOT WRITE BEL
THIS LINE
e zone is
,yL13Receipt `r 51 S
Form 523 Bldg. Code
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F.H.A. APPROVAL ONLY •
SPO. CO. HEALTH FIST.