1973, 04-17 Permit App: K1316 Residencei --
0 0
_County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT.
GENERAL REQUIREMENTS PERMIT FEE `7
s
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.
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 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
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Name of Owner
Architect SPhone_
Contractor ' -'>.- t- "(-
Legal Description of Property (Givp�comple te
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na -G-et 2 5Li4 —t1",t,
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gineer
Address
9907 r_— / 3PD-
description from deed, tax receipt,
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Phone //J/ A- FJ,cc,
Phone
Phone
DESCRIPTION OF WORK: Neew_..Z___ Addition Remodel
Size of Lot 7("^1/2/ / 70 /
Const. f'Ynm 1 Dimensions 3 s&4' S)
(Frame, concrete, brick, etc.) �/
Rooms 60 Baths Basement Akin "(Foundation Const
(Full, part, none)
Heat. System 19n /-1 • Type of Roofing
-4"4° S
Use of Bldg. �
Garage ca:Cyal]s t Attached .//w+w
Moving
4*"
Bldg. Zone / Fire Zone
Sewage System Si "-± / /: Stories /Stgd-
Total Sq Ft H/# l Valuation L 3 -
t�- e n C7 `G.l, Chimney Fireplace �—
52206;
�� (Kind) (Number)
Ext Finish ! A A GC AIf{$ Wall Finish Shto e7'%SG4
No. of Units Bedrooms 3
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. -t^ 0 7'w
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SOUTH qt. .7 5
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State License No.
223-0/— 9a S'0
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit I=h+ t 7 S' 0 h
Heating Permit ref Hi t
Sewage Permit 44 Le. e
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify informat'on submitted is correct and there are no -other structures located on this property except
as shown. ,) ." A -4/ / 7/ ` 7 ,3
Owner or Agent a % 0 ate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THI
Your street address will be .2- 6 _ 0
Sewage Permit }Number Issueded^
Remarks e. -7,f -/-/ .Ate mu/ l'��H .LY/
LINE
Building Permit
376
e zone isi/ / /
Receipt 2/ 3 Issued
Form 523 Bldg. Code