1975, 01-15 Permit App: K6615 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 5C.0
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
whif.h are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
NW3me of Owner R.H. Hoover, Inc. Address E. 9207 Mission Phone�24-5520 d
Architect Gottsbhalk Address Phone
Engineer Address _ Phone
Contractor
R.H. Hoover, Inc. Address Same Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 5, Block 1, hazz Broadmoor iistates
Parcel ',.= .';
DESCRIPTION OF WORK: New L Addition Remodel Moving_ Bldg. Zone 1 Fire Zone 3
Size of Lot 145 x 155 Sewage System • • Iy'�onst, rine
(Fr., , Br., etc.)
Stories 1 Dimensions A'pprox• 791 X 30t Total Sq. Ft. 2404 Valuation 44,000.00
Rooms 1___Baths 2 Basement full Foundation Const. concrete Chimney rock Fireplace 2
(Full, part, none) (Kind) (Number
Heat. System GIFWA Type of Roofing shake Ext. Finish Rock, wood Int. Wall Finish dry
Use of Bldg. Residential No. of UnitsBedrooms 5
Job i1271 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.
NORTH State License No.
;' 223 01 10073
fLInd. Ins. Acct. No.
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See att. plot plan REQUIRED
Plumbing Permit TBJ
m Heating Permit UnitPri
m fo
to sm Sewage Permit Long
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Plans Received
Plans Checked
Plans Returned
Plans Picked Up _
Plans Mailed
SOUTH
Ireby certify inforf�maatii n submitt is correct and there are no other structures located on thi property except
f/
a sh ;2_ '`C �l �/ fr -P 3Zt/Owner or AgDate
A LAND E OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS N T A PERMIT.
£,vim 3414444 DO NOT WRITE BELOW THIS LINE
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Your street address will be 3 e 4� -' 40`-{` y° :-i.�t,1 ±� The zone ism�k �%
Sewage Permit Number Issued Belding Permit 'i ' Receipt ,..- Issued
l/Remarks _.
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Form 523 Bldg. Code
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