1973, 02-08 Permit App: K513 Residence3(1; -
County of Spokane. Washirogton
BWLDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 01
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
NERAL REQUIREMENTS PERMIT FEE
. IT, IT 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 But Id ing 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 connect ions 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 buildink. 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
Name of Owner
Architect
Contractor
roc 11)
0-0.07„.57L,
Address
Phone
_CY0,6
Legal DeacNipt ion of Property (Give complete,
151erc,K
Engineer
Address
/ 5 0 "/ui
c)
o
iption from deed, tax receipt,etc. )
Phone kJ
4.?
— --osi/5
Phone
Ph ondt<14)-
DESCRIPTION OF WORK: New Addition Remodel
Size of L,ot /3.5 X S X
Const.44/4-0 ',.. Dimensions 442)(9 tr cr) YY/
(Frame, c crete, brick, etc.)
Rooms kt,7 Baths r/. ->Z Basementi-Le /1` Foundation Const.
Moving Bldg. Zone Fire Zone
Sewage System -'r-- tr- , %:.... Stories /
tj t„,
Valuation -)-- 3, .5 ' a '.--)
Fireplace
(Numbea_
(t.zi
Total Sq. Ft. t
e n
(Ful prt none)
vof Roofing '---chifiX"i7- Ext. Finish
1,,tt
/1,,,,e A eti / 440 egi
Heat. System/7'410e ri 441
Use of Bldg. A -
Garage or Carport Attached
Chimney!.
(Kind)
Int. Wall Fini
PLOT PLAN
No. of Units / Bedrooms
Private Detatched
Draw sketch with dimensions showing: (1) property lines; (2) street or road locationstr (3) location of existing WPkti
proposed buildings; (4) distance to property lines and streets; (5) dimensions of bui„idings; (6) location of sewage sys,
tem and water supply lines.
NORTH
State License No.
22,3 -61.--//q9
Ind. Ins. Acct. No.
11 - 73
RE
UIRED
Plumbing Permit
ting Permit
wage Permit
Ions Received
ans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct
hown
e 4
and there are no other structure
I ted on this property except
Ow er or Agent e
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION CO
THS IS HOT 4 PERMIT.
DO NOT WRITE BELOW THIS LN
ENCES.
Your street address will be
Sewage Permit Number Issued Buliding Permit
Remarks
e zone is
eceipt 0 Issued
Atttt_t;ot
Form 523 Bldg. Code
L. C. Toombs, Construction
E. 18507 BoW
Spokane, Washington
PLOT PLAN
Requested Price
Lot Cost
r-
0
(5) 67.
135'
T ELEVATIONS:
N Crown -of Street
: Finish Floor
R. 20'
T#19.91'
12'
0
12'
-01-
87'
44th
115.09'
Scale:
Basic: 1092 Sg. Ft. 1092
FHA Case # 1 Job #73 -73
Mortgage C
Power Co.
WWP
P1Jiiber
Ly e Harty
Water Co.
4 WWP
r
Legal
-
Block 3, Lot 6, Ponderosa Heights Addition
Address:
___SPECIAL INSTRUCTIONS:
Excavator
Loshbaugh