1973, 11-16 Permit App: K3294 Residence, Renewal of J1274'v
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMI
GENERAL REQUIREMENTS PERMIT FEE �L
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 thestructure 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 or1dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner / '7' 3i ( OW/ %St4em J/I Address tC/IJaC 7./a77
/Ca /'- 2.t Z Z�
// Phone
�gsneer Phone
Contractor Address Phone
Architect Phone
Legal Description
of Proper (Give complete dbcipt. /om deed, tax recejpt. Rte )
afi
DESCRIPTION OF WORK: New
Size of Lot L
Const. / Yt7'----Dimensions
(Frame, rnnrrete, brick etc.)
Rooms Baths' f B
4 ( 0 pra4.cd mad3
Addition
Remodel
Moving Bld Zone ` Fire Zone /
Sewage System watt60 Stories y /
Total Sq Ft gre2C Valuation /a�, /
Heat. System l� Z- Type of Roofing
Use of Bldg.
� 7A_ 9-/
asementi Foundation Cons
(Full, part, none)
Garage or Carport Attached
7 i
Chimne)f✓ Fireplace 7�
,L•c, '`fl (Kind) (Number)
Ext Finish bYO<'Int. Wall Finish v" if/2"
No of Units / Be ooms 7�
Private Detatrhed
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.
m
CJI
N
NORTH
SOUTH
State Licens "No.
Ind. Ins. Acct. No.
REQUIRED
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Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
39
I hereby tlfy information submitte co rect and there are no other structures located on this property except
as shown./C/J
.�lo /OL
Owner or Agent Date //
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
'0u d_d.,(, kevat DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
v50//9 / / cfld4 NcTherThe zone is .
K3)-9�Receipt Issued9`
Issued Building Permit
Forrn 523 Bldg. Code
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