1973, 05-15 Permit App: K1653 Residence410
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS - PERMIT FEE ..3Y
PERMIT REQUIRFM. A land use or structure permit is required by County Resolution to erect a building or structure of an7
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 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
,cel 0
Name of Owner (.1451/7-141 cif lite
Phone Engineer Phone
Address Phone
tax receipt, e tc. ) /t j' // 44.1( /
p
rd
Architect
Contractor
S`�7/le
__Address 7/7.S`Fyvc 29„.2-6 Phone f,Y y✓, -O
Legal Description of Property (Give complete description from deed,
.275'v-9 --14/11
MC/epeef I!%iej 1 d.4/
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot /60 V 4
Const Dimensions ti x 7 '/ 1 .*2 `1 s
(Frame, concrete, brick, etc.)
Rooms Baths __Basement /u// Foundation Const.
(Full, part, none)
Heat. Systemf4 �sS Type of Roofing fir ms Ex[ Finish
Use of Bldg. rti'Sitl/'i/CP
Dew/4(,�.t (A>cz '�r e)
PLOT PLAN
Moving
Sewage System Sr if 4- 0,24,0aStories
Total Sq. Ft. /( y 'Valuation „7 fo 0
Bldg. Zone _/--- Fire Zone 3
C fesPt'
' 't'4 Chimney Fireplace 2
(Kind) (Number)
,-j-// Int. Wall Finish DAY u/n it"No. of Units _L.— Bedrrooms —
Pnvute Deln(ched
ocatin of
and
linesproPerty andlines; streets; (5)2) reet or dimensionnssdof buildings;;"( (6)l location ofesewagegsys-
(larage or Guport Attached
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
SOUTH
I hereby certify i ion submitted is correct and
as shown.
3
. ^i 41'4
l'fOwner,'Fr Agent
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Penni
Heating Permit
Sewage Permit jt"t-(Jew
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on'this property except
Da
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO `PLOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks 4T.,(, t11 _c -n' /7/'�
1
Building Perm
e zone 1s
Receip
Form 523 B1-\tCode
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