1975, 04-28 Permit App: K7385 Residence County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT4 y7---"
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 I
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.
J APPLICANT FILL IN BELOW THIS LINE ee""
Name of Owner L/e�h.c.e i /4 Ov..� Address E /7��W LL J Phone 9-i)V Q7
Architect Address P (94...M., Phone
Engineer Address Phone -
Contractor F/u. is-k /44dO.1...� Address L /7 0-2/ Phone 32 51 `to 97
Legal Description of Property (Give complete desionfrom deed, tax receipt, etc ) /6-47-) "- 7/
D
I 7 /0j /eC/r 3 /� +�
�f�y �s,ty .7..-® 4/1.(-7,%.773,1„-,
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone ./ Fire Zone 3
Size of Lot 7s k' 77,Z Sewage System _ Const. F)'a rrse--
7 Fr., Conc., Br., etc.)
Stories�/-Dimension 6 7, X :lyy Total Sq. Ft. /57-Z Valuation 7X c'e%�
Rooms 9 Baths / Basement-)'.t b1 Foundation Const. �_ Chimney /(U Fireplace
/
ull, part, none /+ (Kind) (Number
Heat. System E T pe of Roofing C e 6'//' Ext. Finish ICV& Int. Wall Finish �`y J-/9/�
Use of Bldg. f ff,}Otirc- , < <, c ct e c [��k Cr c : i No. of Units.Bedroo/ms
PLOT PLAN ---x--1;---,---/
raw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
osed buildings; (4) distance to property lines a'id streets; (5) dimensions of buildings; (6) location of sewage sys-
m and water supply lines.
` NORTH State License No.
at 7 7-n/- //4'c
Ind. Ins. Acct. No.
•
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/f/� 144',m /72 •
/^,,,11`-E r° REQUIRED
(J // Plumbing Permit ,r- e ?y
/ FP¢ Ljz n+ Heating Permit / o i�P - b t,-Cy
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to / / / N Sewage Permit ,f'i- 0 Ce(
I /fk /f1
Plans Received
Plans Checked
Plans Returned
i AlPlans Picked Up
frc/, A6:;(//4? r.4,-/n` Plans Mailed
SOUTH /
I hereby certify infor•.-: .ion submitted is correct and there re no other structures�eslocated on thi property except
as shown. �,��,�. /!%� `i�%��wv `z�c / .7gr1/75"�
Owner .r Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. c
THIS IS NOT A PERMIT.
1 6t^4 Pi-1 zt4.2,(J DO NOT WRITE BELO THIS LINE
lour street address will be ,/'6 L 9 z , .... �� The zone is 'Z6s---,e2,c----.
,
Sewage Permit Number Issued Buildis_ Permit .1)(�;' ReceiptVi--2.--- Issued
Remarks VA
Form 523 Bldg. Code
7
71
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Basic: �(1Q.ti S q.F t : lD 73_� Legal : 4-. / 6) , 5 -- t�1/��l-C!e ,44 0-----,-- �v�a 'cu-ct�
FI{,A Casey: Job #: 147 Address :
o-tgage Co 6,= a,� SPECIAL INSTRUCTIONS
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Power Co; (ivwP Water Co: j,,,,,,L
Plumber: (,Q Excavator: ,,_