1974, 05-02 Permit App: K4444 Residence• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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.
//JJ���-- ,,�� ,,�� ��-- ,�AlPPLICANT FILL IN BELOWL/THIS UNE l/ c
Name of Owner _LT6ga—L Address %a7i% Lc>i�%/c� /Cl Phone 21/-4a 2
Architect Phone Engineer/��J } Phone
Contractor 8i.J -, to 4. I-C/UU 6Th A j Address P 49 , i AP 3 --eA°1 A1 1.71 1 Phone f ae-70/,. C9'm
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
f} Pk+ ere 4 PFSrf-ian c Tjric- //! trc P/qt NcII& W&. / arrfs
17 r y4fed hzc ,; s i/; mel: -0 3.'; 7 , NJ j4'4 "Li. 1V3 -i& f
DESCRIPTION OF WORK: New Moving Bldg. Zon�ep / Fire Zone
Size of Lot /Valuation
. • 4. Sewage System Etc Tl (', Stories
Const. // Dimensions _ f -_ .. . �_._ Total Sq. Ft. /DZ Valuation .429), (i4t)
(Frame, concrete, brick, etc.)
Rooms 7 Baths 2 -Basement rt ) Foundation Const eir5/)r re k__, Chimney Fireplace
(Full, part, none) jam, ( ind) (Numbe
CD FnPi Ext. Finish �Cr1 %%l le Int Wall Finish
No. of Units / Bedrooms
Private Detatched
r' Addition
Remodel
Heat. System
Use of Bldg. 635 LOW y1E aP,?
Garage or Carport Attached
h j C_..A Type of Roofing
f -J-.
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 properly lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
L1
±F
State License No.
67,a3 -0/-6o6
Ind. Ins. Acct. No.
q/ 9K6 -
RE ED0
0.'.alai
Plumbing Perim
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify in mat'on submitted is correct and there are no other structures located on this property except
as shown. ,/!
Owne'i/ or
s-�-7y
' Date
A LAND USE OR S1IUCT' • E PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NO ,WRITE BELOW THIS LINE
Your street address will be / � , L� •e(zone is
Sewage Permit Number Issued /.Ild ,g Permit k,(514, Receipt
Remarks
Issued
Form 523 Bldg. Code