1973, 05-15 Permit App: K1652 Residence410
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT .
GENERAL REQUIREMENTS PERMIT FEE j!;21a!
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 higineer'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 Hlghray 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 IH BELOW THIS LINE
Name of Owner jv 4C./.:4e."2/44_12..r(7 Address 7/ 7 S ENnc 9-‘9-,786Phone 72 0r V,7.l6
Architect Phone Engineer Phone
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Jr /d7 ea .fit p
Mg, fr-C 2 r {rpt•
027) 31Y-191/9
DESCRIPTION OF WORK: New Addition
Size of Lot / "8 }t / 7 S'
Const. /-1C4..4-'-‘ Dimensions
(Frame, concrete, brick, etc.)
Rooms___ 6 Baths o.(L Basement Fit C/ Foundation Const
(Full, part, none) //r�
Heat. System FA. rrC/t i Type of Roofing Oil Air
Use of Bldg. KF•4,1e,ye_e. •
Garage or Carport Attached
i
Remodel
Moving Bldg. Zone ' Fire Zone
Sewage System )//z/i .' Stories
t otal Sq. Ft. 20/6 Valuation 74' ?e -r)
00/✓ !'/1 //e___
Ext Finish :1-/ —//
0h0
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location oftexisting and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
te
mm and water supply lines.
Chimney Fireplace .
(Kind) (Number)
Int Wall Finish 72/9/2th
at -
No. of Units / Bedrooms 41/___
Detnlc d
Private �
1/ 9 F 0 -c.— -ess,„ a o
NORTH
State License No..
,523 D/ 7Y°�_
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby,Sertify }vrorma)ion submitteditttis correct and there are no other structures located on thhiii prrooy/%Jrty except
is r —s -.e t-/ j �j l .i / ' 3___
C/- Owner Agent
Date
TURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION
• A LAND USEOR STRUT
THIS 15 NOTA PERMIT.
as shown.
DO NOT WRITE BELOW THIS LINE
Your street address .111 be / 1 3.2/
Sewage Permit Number -7� Issued
i
'Remarks e lio L / 0-vJ /-s1dZ(
!!721 ✓ t_ The zone Ss g
Building Permit
sigtceipt
Form 523 Bldg. Code