1975, 03-18 Permit App: K6957 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 6z- L%
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 :,y 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 j
Name of Owner �i F.t./F H(2.12W Address /702// f. l cex_ - Phone %/¢y- b777
Architect Address _ Phone
Engineer y Address _ Phone
Contractor 60/A/4 / 1,I f w/ Address /7".J/ _.t �‘//Pj'LY Phone 1f/IX--‘ 77
Legal Description of Property (Give col e dription from deed, tax receipt, etc.)
L o 7- / / /a A.Jrr 5 I -ECI,f/E ii/ 0/if veto /*7 /1-�o,1
0/5 ypZ ,-.-;(,)e/
DESCRIPTION OF WORK: New X _ Addition Remodel _ Moving_ _ Bldg. Zone / Fire Zonn 3
Size of Lot /77 o7 / X //7/Ve / Sewage System f2/177e. ry�onst. F/T���
l �1 / 1Fr., Conc., Br., etc.
Stories./ Dimensions 3y 'X ,?y / / 61MW*- .of 02Y Total Sq. Ft. �77b Valuation
Rooms ���b Baths Basement 6// Foundation Const. —Chimney it-fm-e,Fireplace
Full, part, none) (Kind) (Nu er
Heat. System Eiji Type of Roofing CO/77� Ext. Finish kV. 12017 Int. Wall Finish .al, e-,/Q/�Q
i(
Use of Bldg. f f/feit/('t _ No. of Units_Bedrooms
•
'/ PLOT PLANk /I-C
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 State License No.
7,7J-0/- ///.71'
Ind. Ins. Acct. No.
/' c;Z
/79/A/ 00ro, 7/C E)
F REQUIRED
7t.-e� I "E/ y/a Plumbing Permit �'E/le/'
6 A��Ice 0
in Heating Permit B� - /4--e
rr /' % N Sewage Permit E//e - 05/9
S eel /77 Plans Received
, ,,7-„,/ Plans Checked
Plans Returned
/�'/ Chit-, Plans Picked Up
j P e �rA 0-7 �`
Plans Mailed
SOUTH
I hereby certi formation submitted is correct and there are no other structures located on this property except
as shown. G — 7//5
/7 C
ZOwner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
l THIS IS NOT A PERMIT.
,-fro 7,14.1i.7,2_, 1 DO NOT WRITE BELOW THIS LINE
Your street address will be 0���j 7 C - _ Al..)--C4v The zone is 1,'rr
Sewage Permit Number Issued _ Building Permit WAY Receipt y4 Issued
Remarks
•
Form 523 Bldg. Code
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FH Case #: Job #: '�� Address :
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Mortgage Co. : /{' NLi�,/�r'Ef SPECIAL INSTRUCTIONS: , ' 1
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Pwer Co. : Water Co. :
P umber: Excavator:
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