1975, 04-08 Permit App: K7167 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 21
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.
APPLICANT FILL IN BELOW THIS LINE ; c-,(,�
Name of Owner GEN r c frog—M Address # 1 + 'hone °10,9-6(/97
Architect Address _. Phone
Engineer Address _ Phone
Contractor PRAIlk. VVt7
, 7 pE.V Address /70,29�1 E �/�tt res[e-te Phone 4/ C197g,
Legal Description of Property (Give complete description from deed, tax receipt, etc.) _
is -. Ri •I- -i-& w PA V42 LOT S -KT" eL 0 C k -2-20 01=
&ARAI',IS/nti i)r- P' LO1irc /77 a.7o,
DRc/yARO AvF /t- td f' RT 05 h1 y:-43e.
DESCRIPTION OF WORK: New X AdditionJRemodel Moving Bldg. Zone / Fire one 3
Size of Lot 75, '!9 ,X /74.5a Sewage System s.5 "-PT-/c--- Const. RAV7E
U �( (Fr., Conc., Br.,,9t
Stories / Dimensions 3c) X c2 T Total Sq. Ft. 2* Valuation-2/ Q'
Rooms Baths / Basement COCR£i� _—Chimney Fireplace
. 1"l.l-C.c-. .
(Full, part, none) Foundation Const. I,,� (Kind) ��rr (Number
Heat. System 13 Type of Roofing C0/0P Ext. Finish l'7OtaO Int. Wall Finish C�'i° 'OA KO
Use of Bldg. f?i' I DCC✓l/C No. of Units_Bedrooms
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.
c7523 - O/ - ///,QS
Ina. Ins. Acct. No.
f8)c . sqc
MA rLOO (t. REQUIRED
Plumbing Permit
/,�MU�Ce.. -11„
��A �1 ti SQ FT. CS(�y l„ /I in Heating Permit O/+Le-72- 10w elk
N N Sewage Permit fl t c--rZ- Lr l4
Plans Received
C (1,1-716 C cQ c& et-A-4-i;14-8) Plans Checked
�/ Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby ce i information submitted is c rrect a ere ar no other structures
lo ated` on this property except
as shown. f/ 71
c..y
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A Manic.
311.441 DO NOT WRITE BELOW THIS LINE
I
Your street address will be (4.! 7 / ,,A rE44 The zone is(-/rtL-C'Z1 fit(ocJ./..t
Sewage Permit Number Issued Building Permit �ri� ,= Receipt 7 Issued
Remarks
Form 523 Bldg. Code
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FHA Case#: Job #: Address :
Mortgage Co: ,6714,icsimRE;S SPECIAL INSTRUCTIONS :
Power Co: Water Co:
framommor
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. Plumber:/tM(144,uExcavator:�j`, �
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