1974, 03-21 Permit App: K3952 Residence• •
County of Spokane. Washington
BUILDING C;DESDEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLIC TION FOR LAND USE OR STRUCTURE PERMIT 30er
GENERAL REQUIKEMENTS 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.
1
Name of Owner C!3et it 1 ade, °A) Address ?. t / i/9% 4sv.t• '9.?' u Phone
Architect 11 Phone Engineer Phone
Contractor 5py-t B Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Lpf•
•
APPLICANT FILL IN BELOW THIS LINE
5--2234
9-z41-
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Cats PPii43/1 Es4.Pt s Opoafrtu a4 Sc 0r7=7-.2sN..- Si )W.±'w?l. -
(fir;;t r t-74 - 90 id
DESCRIPTION OF WORK: New .N Addition Remodel
Size of Lot 20X /2/ Cite,¢6-6.0/440
Const. B Dimensions i4 ` AZN' a 22k Z.C1
(Frame, concrete, brick, etc.)
Moving Bldg; Zone / Fire Zone d
Sewage System�.ljJr7C. rifA/4 Stories
Total Sq. FtJ+ I f3-4 one Valuation 3teeo0
Rooms Baths _2._ Basem
nt Tut Foundation Const CCN4-0Q-054-C
`'T^' (Full, pa}t, none) 4 p
Heat. System? &M -'S Tye of Roofing I J C Ext Finish -T -1-ti
Use of Bldg. Th' D e7ut_s- f S/a/G/C---)
Garage or Carport Attached - Z
Chimney ae/L,t Fireplace 1
(Kind) (Number)
Int. Wall Finish �QT
No. of Units - / Bedrooms LT
Draw sketch with dimension
proposed buildings; (4) distan
tem and water supply lines.
showing: (1)
e to property
NORTH
Private Uetutched
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-
-1
I hereb
as shown.
tify informs
Owner or Adent
State License No.
.2:2 -RR -e I-M!tea
Ind. Ins. Acct. No.
Yc`^/9- 7�
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked _.
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
submitted is correct andthere are no other structures located on this property
3- -7*
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON:tTHE PREMISES BEFORE CONSTRUCTION COMMENCES.
except
THIS IS NOTA PERMIT.
OM i. -a)
tit
-DO NOT WRITE BELOW THIS LINE
�y
Your street address will be
/
_ ,K
/
.e zone is i? -1 ,4A/
g
ievage Permit Number
Issued
:uilding Permit,(d 95 d-' Receipt<1-40 4 Issued
Remarks
`
Form 523 Bldg. Code
-