1974, 03-11 Permit App: K3816 Residence2
i
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 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
Name of Owner 7bS /s/ Vf�YgA Address / /SU/ hnN6er,/.' V6 Phone lyB,3 2
Architect Phone Engineer Q Phone
Contractor ,��AGeyio color 7; e , Address 5 7'004-/ 4/PatVI 'T -V/L/ ✓4 Phone ki.41, i -13/Z8
Legal 4escription of froperty (Give complete description from deed, tax receipt, etc. )1r �Q,.it-c')z� o/c -L/4 -dao'
61i{, 9 - - ,Arima ler ,4z.
DESCRIPTION OF WORK: New X Addition Remo
Size of Lot /t s L r' lC tt
Const. Mftivfig. Dimensions 5¢ t 0 u K3 / ' 9 y f /3
(Fran, concrete, brick, etc.)
Rooms_ Baths / Basement AR? Foundation Const
d / (Full, part, one) //��
Heat. Systeme. 6:45' Type of Roofing UZ.11,
O.
del
Moving BI
Sewage System
�`l,rZ2 r0" Total, Sq. Ft.
Lyi#4.14,6 3? a2 X 1J �'
Ext Finish
Use of Bldg. ge4Q2 IU 4 r /, AJ6 2 641z4c4�'
Private Detatched
g. Zone
Fire Zone .3 -
G _ Stories /
4 Valuation 5;�CI
Chimney z i' Fireplace /.
(Kind) �y�-�� (Number)
5/2.1
Use
fr .WL'eilInt. Wall Finish iLV.•stA ' 4
Garage or Carport Attached ��/2s
No. of Units
/ T✓
Draw sketch with dimensions showing: (1)
oposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Bedrooms
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
SOUTH
State License No.
2S5-- 0/- 844/`1
Ind. Ins. Acct. No.
Ott 3
REQUIRED
Plumbing Permit /w/th 1 , 7714Ni
Heating Permit //%/reP ,V7&'
CY
Sewage Permit OffA) IA -1C1%
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereb. tifys „witted is correct and there are no other structures located on this property except
Owner +igent
Date
SE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
l)>w 11A
DO NOT WRITE BELOW THIS LINE
Your street address will be
e zone is L 4 c '
Sewage Permit Number Issued Building Permit 3 ReceiptIssued
Remarks
Form 523 Bldg. Code
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oorsrr -;E. TGOOZ.`_ GpuyzGarv. ilvr
PROJECT D.RAWN'Bh
FRAIs'K L SC EIdt7 I ESICNER/B�I
DATE ` L42'.$64 -TIPRIyER DR=-RPOkANE, WN- WA
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