1974, 11-08 Permit App: K6248 Residence t
ounty of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT -4
GENERAL REQUIREMENTS PERMIT FEE .z/
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 mast 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 BE OW THIS LINE i 9ca6
Name of Owner -.4"i--si 4 . �-,. , - _ 4. :Address -. ‘-/-c---CPhone_ ,.. � _. ..)
Architect Address _- Phone
Engineer % Address ___ Phone
Contractor ) 1 _ 7-1 Address - 1 /-) - Phone
Legal Description of Pro rtyy (Give completg- escription from deed, tax receipt, etc.)- CI 5/
,�f / �C -d - �• C .., -C'�c- .�e"c r- . -7 —,15---_-1.4 .1 2 lr:fwl-
DESCRIPTION OF WORK: New ✓ Addition Remodel Moving _ Bld . Zone c; Fire Zone
Size of Lot /017 / X ?CI _-- Sewage System - onst. �f/}r2 --
e -/ / , iFr., Cgt,Sc., Br., etc.)
Stories Dimensions 9/ /X '
F ' '7" /Y Tptal Sq. Fr'C' 2G Valuation 4 0, 9c
/
Rooms �f' Baths _ Basement c-e-, Fo dation Const. l7Z 6 rC - _Chimney Fireplace -2
/, (Full, part, not (Kind) (Number
Heat. System a- ype of Roofing -rr Ext. Finish x 9d Int. Wall Finish ✓� -'c�`c- / L�`Q 4f -
4 Use of Bldg. ' -e_.01-e...cf_ ct_Q,-� No. of Units_Bedroon
r_...= -._ PLOT PLAN
'
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
7/7
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
y State License No.
N Tr
� Ind. Ins. Acct. No.
1 ,---e-_--/e - / -7- 7..r-
.*
REQUIRED
7 — �'^\
Plumbing Permit \
5/7 . rn Heating Permit '\
'J < a /1
to Sewage Permit
Alt -1
5 ' \ Plans Received
F ___
Plans Checked
Plans Returned
Plans Picked Up
CIL / 'l Plans Mailed �..
SOUTH
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I hereby certify informat" n submitted is cor ect and there are no other structures located on this property except
as shown l f //-r- -/-/ (
O /
Owner or Agent fi r/ Date
A LAND USE O STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be_ 44:77 7 _ - _. Z•-f _'J The zone is 4. mmosa_ir%-
Sewage Permit Number — IssuedBuil.ing Permit ��...4 Receipt ,,zc) Issued
Remarks _ l /
Form 523 Bldg. Code