1974, 12-16 Permit App: K6545 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMI 7s�-
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
Ileast 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 y �
Name of Owner ` !/ % -.0/. _ Address --..)/ /L1-- `��7/L-- Phone ���---17j
Architect Address Phone -
Engineer y Address Phone c�
Contractor - /�L� ?-c-t9-�Q% Address r /d'r// " ••• -".6:'--Z‘'‘ Phone Phone _J�$ 151°7 7-1 I.
Legal Description of Property we complete description from deed, tax receipt, etc.) 1
) . �-!.� e___,‘�F GA�'c1 -- "l .fir a
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire ne'---7
Size of Lot l02e 1 X ' ' " Sewage System eG� -e.- co(Frns onc., B ,a cet2)�6
Stories Dimensions 7 X • Total Sq. Ft ?/`. Valuation !•• 1'ii
Rooms i' Baths Z Basement Foundation Const. (,2' "x-!�� 9 Chimney Fireplace
(Full part, n (Kin (Number.
Heat. System �- Type of Roofing • Ext. Finish d Int. Wall Finish �L
Use of Bld •40I_-...._.- - r . /7,.., 7.-- No. of•Unita Bedrooms --2
dy
PLOT PLAN j�� , �� /
/ : aw sketch with dimensions showing: (1) property lines; (2) street or road oc: e ons; (3) location of existing and
1 opos-d buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
.nd water supply lines.
NORTH State License No.
Ind. Ins. Acct. No.
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REQUIR '
Plumbing Permit a. ..n
m HeatingPermit
m TN
in cm Sewage Permit
V -4
Plans Received
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Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I ereby ertify informat•on submitted is correct and there are no other structures located o this operty except
as s ..n. ,/ /
7-2-' /6 77
Owne Agent Date
A A D USE OR STR CTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTR CTION COMMENCES.
T IS IS NOT A PERMIT.
D• OT WRITE BELO A . . LINE
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Your street address will � ,J Ae. ./ , .,r zone is 4 3-v-- r--1141 '
Sewage hermit Aber Issued Building Permit '' 1pt Issue. ,
Remarks I - ..r. c zj' _ Avil es.. -:c_ __,- lA�'s.,,m,,,„.5,_ "i__1____ s__ at ,
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form 523 Bldg. Code
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