1975, 01-31 Permit App: K6753 Residence• 11110
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201, p D
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 4
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.
NATER. 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 easeeents 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 +7
Name of Owner Torn Atkins Address Po. box 14060 9214 Phone 924 1-703
Architect Phone Engineer Phone
Contractor S anile Address b arm Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc. )19,(1A-C�G�
Lot 2; Block 1; 11th Addition to Veradale Heights
DESCRIPTION OF WORK: New X Addition
1001 x .bit
Size of Lot
.,
Const Frame Dimensions 241 X. 661
Remodel Moving Bldg. Zone 1 Fire Zone 3
SepticStories 1
1624 Valuation 431, 5000
Sewage System
Total Sq. Ft
(Frame, co crete, brick etc.)
Rooms 8 Baths 4 Basement 11U1-1
Chimney Fireplace
Const Concrete Brick
(Full, part, none) '� ood with (Kind) (Number)
Heat. System F A« G -C1 S Type of Roofing rorapositiru xt Finish perti 1 brj CIO Wall Finish JTAl ibo2rd
Use of Bldg. Single Family Residence No. of Units 1 Bedrooms 3
Garage or Carport Attached Yes Private Detitched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations,
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
23'
iI,'z3s'
Co, Drto.
) location of existing and
(6) location of sewage sys-
u
Ib3.b8
is V
ro
0
16.3.68'
A/e5j 1
- 1.-
8
7
REQUIRED
Plumbing Permit Gold 3a1
Heating Permit iial. Tic? @ t i 1r g
Sewage Permit 'Tvi k ConStruc t
(Roland a1ke rl()
tr Plans Received
O Plans Checked
Plans Returned
7 Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. )
Owner or Agent
Date
A LAND USE OR 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 / J „ �: 1e zone is.,(iLG��✓+ ''`�'G-
Sewage Permit Number Issued Building Permit `'N? _
Remarks
Form 523 Bldg. Code