1977, 08-22 Permit App: K2964 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT (a3
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
' �OQ L Tr,. /I
Name of Owner i "r- Address ✓` Phone %' ' -e 7e.
Architect / Address Phone
Address Phone
Phone 1'ZP-06c cn
Legal Description of Property (Give coppi�plete description from deed, tax receipt, etc.) Parcel Number d 3Y6'/ 3 — tae.
la-et. a/ Afiachat- Ce 9465
Engineer �,ttvr
Contractor C1,r e- 7/ ES" 11 SAddress 7>>/.57 F Tfen7'
1 -Ca ti
DESCRIPTION OF WORK: New // Addition Remodel
Size of Lot /!r 1/.7 2 %z i-cs 97-2/Y139
Stories .Dimensions ..7rf• X 72-
Rooms
7Rooms Botha Basement61A f Foundation Const. co -w -c_
Full, part, novel q
Heat. System E74'c/ Type of Roofing l airy, Ext Fini
Use of Bldg. l //
Moving Bldg. Zon / Fire Zone
Sewage System Const 1 -
(Fr., Conc., �/B7r„ etc.)
Total Sq Ft �1�0 Valuation ��00
• Chimney (Kind) i
Fireplace
er
sh _%12- / Int Wall Finish 10 (
No of Units—Bedrooms
3
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.
NORTH
dfirdlize
State License No.
O K 01V F/
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
w Heating Permit
NSewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby ce t y information submitted is correct and there are no other structures located on this property except
as shown.
Owner o ant
LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
;THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW -T/HIS//1LIINNEE
L51,2 -G1 / 't-rX-i r P C (l The zone is /-��7 _
Date
CONSTRUCTION COMMENCES.
Your street address will be
Sewage Permit Number
Remarks
Issued
Building Permit W ,,Gh 4 Receipt 9..,g ssued
Form 523 Bldg. Code
•
• \
• v\Pla
tf,
.9
• r
CurrkA
-j
_dr\ ij
Cm, SQ.,- a' —
P1:20PERT DES C.-IZ PT Otk.1
iftrtlf':‘;!:.1 11-4. SenitIrs S 39. 3 Cee+c4'Rm. N. 1 C3S-0. 0+141f Por+ban#cre+fle SW Y4. 04 -Ste.- 34;
4- E.N. 1)/1 Ekt °1,ne.. era fro t,'N N10,-ilA hew. or ‘ 4;
E.as oci-!-it NW cortic.r *tre of +0 poin-P In h S1+11 line 04-
sor•-, 1579. 2. fzd Ede et cal f.7W Co.rr1-31,!rc.c-,4- EX. c..F.+ ik 3°04, I75:17..
:S-5-Cceir C -Ova- 50(.11'1'1 14-75-3 c.e.k 04tL Haill 147043
E (SS 4-72..,2_37 i 4-7.o* aC Nor4.4% 12 '37- 90
the- E•c<
9:
•
-# • •
.4.44
-- 105'31', -
9 e
\r...211s±.
4
c E.
7 _
, • , ,
• 1
2 Jail 8/77
•,
• ;•2•44f 4
•
r
-• 35 -
-
•
• ',:•!=w.iii'vr •
- - lo 53"! —
•
SWW4 1S78
Sand So6di
a s
Izot.
S4 mp•sopr ENG' NEERS
N. a ("9 AVP.GoNiNt' kOP
c•-PC)J‹. Wlat SI•41 0
glg