1973, 05-31 Permit App: K1902 Residence County of Spokane, Washington (3
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BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE. WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT ,- ez
GENERAL REQUIREMENTS PERMIT FEE 1_ I
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.
/c1 APPLICANT'+ FILL IN BELOW THIS LINE 1 J,//�
Name of Owner �1 £ 4'/S (2). Address 7 o1 L�9 2 Phone i7f/7800
Architect ?r7 Phone Engineer Phone
Contractor C96GafyPk"- Address Phone
Legal Description of Property (Give complete description fr deed, tax re Opt, etc.)
.ZG'' a-- , /aJ< / Larry (Viii J 26-,
DESCRIPTION OF
X OF WORK:New / Addition Remodel Moving Bldg.Zone i Fire Zone -�
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Size of Lot / / / . "r, Sewage System 'e Stor / /L
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Const. �5'J/fl P Dimensions 4/2)< cif -3 ') 4-1-4 Total Sq.Ft. i f?- ValuatioP, �,...g;00
(Frame,concrete,brick,etc.)
Rooms l Baths (. Basement p'ViFoundation Const. L-CWC; Chi�e Fireplace 2'
(Full, part, none) /� (Kind) / ( umber)
Heat. System Type of Roofing �r 4 .-C Ext. Finish 'T Int.Wall Finish Lam .)4
�r
Use of Bldg. / )Lyl G f No. of Units Bedrooms
Garage or Carport Attached—r^ .5 Private Detatched
PLOT PLAN
Draw
ql!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 State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
m
ul \/ N� N Sewage Permit
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2'/X i" Plans Received
c" � /j,
,2S- . Plans Checked
Hca0 / 1/ Plans Returned
Plans Picked Up
J �j Plans Mailed
v` Q SOUTH
I hereb er if infon submitted is correct and there are no other structures located on this property except
as shown.
Ze -,;;;; je Owner or Age Dat
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A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
IS NOT A PERMIT.
—Lttd-- �z� DO NOT WRITE ELOW THIS LINE
0 r
ur street address will be y�� _ _ _ 'e zone is -----Z
Sewage Permit Number Issued ' Building Permit .(44 Receipt rk, .Issued
Remarks
Form 523 Bldg. Code