1974, 05-16 Permit App: K4618 Residence• •
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201 j/
6_2° -
APPLICATION
p
APPLICATION FOR LAND USE OR STRUCTURE PERMIT S
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 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
_ rT� �7 /i -19.1 /14
Name of Owner ,5•l/4/n/,t Ifo}//v,C7Y/✓ Address Rada /'yft ("PAZ 992/yphone 92t'J"70/
Architect Phone Engineer Phone
Contractor 25.2A/NE cr'Oh'NSTOn/ Address /7e) L30/? /4997 0P9E M/jhone ?t
5> O
Legal Description of Property (Give complete description from deed, tax receipt, etc.) 46• Ca..) ' O F l (DS
12 9. Sir ' -op TRACT -1 ?7
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DESCRIPTION OF_WORK: New Addition Remodel Moving Bldg. Zone / Fire Zone 3
Size of Lot 64 I % /.3O 'Sewage System TL'PT/C Stories 2
Const. /92/5r/W--fl 30�
Dimensions /
' 1? X 3 V t fax LY CPTotal Sq. Ft. /e?fo valuation z y/9 -w
(Frame, concrete, brick, etc.) �l w,f%/9/ems,-�.�r/
Rooms Baths / Basement f4't/ Foundation Const t a ,t, et e7-4- Chimney/%eFireplace zS<
t_ (Full, part, none) t/ (Kind) (Number)
Heat. SysternlJd RR/C Type of Roofing /Mr 7/57R Ext Finish MJ,reA077 Int. Wall Finisher 8o9e42
No. of Units / Bedrooms .2
Fri vale Det:tched
Use of Bldg.
Gorige or
re/Cer
Attached S/!r/G .
77 9 es fez>
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.
• 4-,
NORTH
MA
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n
/s'
s-'
441
31
10' /a'
/3'
et
DRAW
SOUTH
State License No.
;2_,2_3--o /— GIS -3
Ind. Ins'. Acct. No.
9 /-ods yrfs
REQUIRED
Plumbing Permit
n. Heating Permit
Sewage Permit
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify
information submitted is correct and there are no other structures located on this property except
as shown. , 9��tiCI
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.5-- /6- 7-5/
'lowne3or Agent
Date
A LAND USE OR"STBUCTU PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
1
Your street address w111 be ' . //
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
Le
Building Permit
e zone isai+14GC4[.Qif.C4.4-C I.L(.l....
Receipt&6 %9 Issued
Form 523 Bldg. Code