1975, 07-17 Permit App: L0873 Residence4
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE Yl v
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 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 or dedications.
Name of Owner
APPLICANT FILL IN BELOW THIS LINE
KI�IEA)I Fi Address G ' O� t Os^ I Flt7e Phone
Ras. -CoTo?.
Architect Address Phone
Engineer
Contractor
Legal Descripti
e_ @ntRAC bit
Propertye complete d s Optic.
Address
Address t-
Phone
4.
i l` # Oa. Phone 9x6 —�ra7o
from deed, tax recei etc.) ---� C '7
Dy t?ioa BoKla)tr L ov�7[Y
on of (
Ga
I �. P
on- � 1� I M.Pit
1 t
DESCRIPTION OF WORK:/New X Addition Remodel
K�
Size of Lot -I(7Y t3a_
1
Stories to'- Dimensions
Rooms C Baths Basement 1uLk, Foundation Const C OAICRr1V
FAIL part, none
. ' 1, Type of Roofing COKE). Ext Finish M.PSonllTt*
asx 36 U,«
Moving Bldg. Zone Fire Zone ‘ 7
SCP \(Cr Const. fe�1Vt(=
ty, of Fr., Conc., Br. etc.)
Total Sq FtValuation �4SOo
Sewage System
Heat. System
Use of Bldg.
Chimney Fireplace
(Kind) (Number
���c�
Int Wall Finish S '"CKOCK.
No of Units 1 Bedrooms
jaeack
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
Petertkcitkey
I hereby cer
as shown.
y
State License No.
9,93-0I — (7334
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit 2rS 1 �y 1-ae.i
Heating Permit SIM-
Sewage Permit IM- KoSA
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
information subpitted is correct and there are no other structures located on this property except
er or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
(9-, 14/f4e70 DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued Building
Remarks —
Perm!
Date
CONSTRUCTION COMMENCES.
The zone is -Pearawer / tko
Receiptgg4ri Issued .
tele
Form 523 Bldg. Code
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