1973, 04-27 Permit App: K1473 Residence'/8 £2
o
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE tn.'•
PEWIT 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 coveter 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
Architect Larson
Contractor Robert Pielaet
Legal Description of Property (Give
Lot 1, Block 1 Amended
Hi hvi ew AcrPF Tnr. - Address Rt.. 7, Pns±. Pal 1 s, Triahn
Phone 531:-8732 Engineer Landmark Surveyors
Address same as owner
complete description from deed, tax receipt, etc.
Plat of Wal l i n:,*Wt Enst Subdivision . &t/ c?..r // - &J n/
Phone 771-1:281
Phone
Phone
255-6159
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot 76.93 x 20R x 83.71 x 97 x 103.78
Const. frame Dimensions
21t' x 40
Moving Bldg. Zone ! Fire Zone d
Sewage System septic Stores
Total Sq. Ft. .Th—,= -1-.2 3 2.O Valuatio / o2 `/ 000 °'0
(Frame, concrete, brick, etc.)
Rooms K Baths _a__ Basement fell Foundation Const
(Full, part, none)
Heat. System G.F.A. Type of Roofing composition
Use of Bldg. dwelling
rnnnrp'fP
Ext Finish wood
Chimneyln1 s nnrtr Fireplace
(Kind) (Number)
Int. Wall Finish dryvrall
Garage or Carport Attached
20 x 22, garae
CGf.L
No of Units 1 Bedrooms 2
Private Detatched
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.
N
NORTH
State License No.
223-01-8698
Ind. Ins. Acct. No.
274-824
REQUIRED
Plumbing Permit Emerson
Heating Permit A & M
D Sewage Permit West Val l ev Fa.
N
-I
▪ Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereb
as shown.
SOUTH
of„Or mat 7:00.
s. 2e
ubmi5xed is orrect and there are no other structured located on this property except
,77 a3
Owner or Agent 'Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
eldt44tAl e-1.4414,_
DO NOT WRITE BELOW THIS LINE
Your street address will be 0 i I'
i ' / /
�� -�� .e zone is • — — I e /r
Sewage Permit Number. Issued Building Permi•lir Receipt Issued /��
Remarks
Foran 523 Bldg. Code
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