1972, 11-20 Permit App: K119 Residence1
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 aqy
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 onwater 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
Address //24(f4— E finew�i.t Phone!/ 15-1?/
Name of Owner WIZ A644( Cvc
Architect /, Phone Engineer !� Phone
c�
Contractor X y Ped't teS4' Address _. .et -,.o mo 4.k --i, Phone
Legal Description f PropertyjGive complete description from deed, tax '4receipt,�4e /AMR etc. )Zef3 ggr7 r 4'/ -.n, -.4s4
4(A' t /AAMRt 411 f 7y 020' e) tfrt'
/SDc
111)11
DESCRIPTION OF WORK: New J Addition
Size of YLot Po A l 2 i
Const / tesbKF Dimensions
(Frame, concrete, brick, etc.) n�,7 `j
Rooms_,~ Baths �_ BasementParr* Foundation Const �"O/JPiY PfP
C�
+ n/2 (Full, part, none) ////
Heat. System` '3, t Type of Roofing l'6Mr • Ext Finish
Oa> C-
9vx1 1.1c)25'
3 '/a !&.Cls esfark•S 3�gerel
Remodel Moving Bldg. Zone 1 Fire Zone
G.+nE Sewage System 5k44 Stories f S�
- Total Sq. Ft. i'y ffy Valuation
Use of Bldg.
.Garage or Carport Attached
Chimney i Fireplace '—
(Kind) (Number)
Int. Wall Finish BAPS/ iva
No of Units j Bedrooms t
Ca ate- Aisle di a4g-t
Private Detatched
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.
NORTH
I hereby geI'tify in
as shown.
State License No.
.2 .2 7 0) 6,(o -i
Ind. Ins. Acct. No.
/6v 7fl
REQUIRED p
Plumbing Permit 1l
n. Heating Permit Ales+-Kr
Sewage Permit /ve Li'e&
H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
tion submitted is correct and there are no other structures located on this property except
7,
%%/T-r/r ,Q
'r Agent Date
A LAND USE STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
CFO- OA/ fill
DO NOT
WRITE�pBELOW THIS LINE
Your street address will be e/'3 / / / -X�[-c-ei�."t-4 r
Sewage Permit Number Issued Building Permit
Remarks
I
e zone is
Receipt 84'
Issued
Form 523 Bldg. Code
11
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ot Lot i2''
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