1972, 12-26 Permit App: K303 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /
GENERAL REQUIREMENTS PERMIT FEE..<7
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
Name of Owner tip it moi-.. C ddress eett_ 7,A_*7 Phones -F72 1.L.
Architect Phone Engineer Phone
Contractor S»~��- Address Phone
Lega) Description of Pr9pertyjOive complete
descri
ptipq fr m de/d;, tax receipt, atc.)
de -el , 4 44V/e, k /r-?/ /7 1/, -e-ed Feera//E
'.
? 7 -Sri /Wci 6—
DESCRIPTION
DESCRIPTION
OFpRK:,New
J 4.---Addition
Size of L9,1. j'-'29 u / .-0
Const. / rte- Dimensions -2t„/ (27
(Frame, rcqper ete, brick, etc.) yy
Rooms' / Baths / Basement /-N //Foundation Const
(Full, part, none)
Heat. System l Z-�,„„Time of Roofing
Use of Bldg. fled
e -f
Remodel
Moving Bldg. Zone / Fire Zone
Sewage System -9'ELri A-- Stories r“C”.
Total Sq Ft 760 Valuation 17 ,y9a-
t 1 » X- Chimney Fireplace/
(Kind) al (Number)
Ext Finish te/Int. Wall Finish U%'5 L//a/7
No of Units / Bedrrooms '
Garage or Carport Attached'
Prn•nte Detniched
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
SOUTH
I hereby ify infor,,,ppp�µµµaaa,�xy ion submy'ttod y�corrr t and there are no other structures located on this property except
as shown. ite
LOC .Ca //�`
Owner or Agent Ose0Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. \ _
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
m
In
N
-4
State License No.
Ind. Ins. Acct. No.
REQUI D
Plumbing Permit
Heating Permit ,G,
Sewage Permit / 1
7`
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
/Z-zC-7?
Your‘s� treet address will be .�Q SO Hol !'°t•0
Sewage Permit Number Issued Building Permit
Remarks
K4A-7-ie ze- ie min 2 �d Ott
�olitlit
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e zone 15 rC- / %jinvt'ae---1 U:-I'W-�'e/
,I\��� Receipt Issue 't r-�f
Forrn 523 Bldg. Code
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BUY - A -'• FAMILY.. HOME"
DARRELL G. CONDRO !,. BUILDER
1'_:....BOX- 7827
SPOKANE; ...........rTON 9.9209
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