1975, 02-27 Permit App: K6793 Residencei- •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE $5.4150
PERM,1T 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 BELOW THIS LINE
Name of Owner R. H. Hoover, Inc. Address E. 9207 Mission Phone
Architect Address Phone
Engineer Address Phone
Contractor Same Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc 1
' yM
924-952
Lot 3, Block 2, Broadmoor Estates New r] at, no parcel
3 3, _ 5
DESCRIPTION OFORK: New Addition
Size of Lot 88' x 150'
Stories _S. -El Dimensions
Rooms 8 Baths 3 (Ful
Heat. System
Use of Bldg.
Job ;''i` 277
GEWA
53'x22'x531x
Basement full
I, part, none)
Type of Roofing
Residential
Remodel
27' approx.
Foundation Const
Moving Bldg. Zone
Sewage System S. T.
concrete
1 Fire Zone 3
Const. Frame
(Fr., Conc., Br., etc.)
Total Sq. Ft 2291 Valuation „+4 -501: _ n0
ChimneyRri Ck Fireplace 2
(Kind) (Number
Shake Ext. Finish Wood & brick Int. Wall Finish (Iry
No. of Units J. 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.
I
3
d
m
NORTH
See Att. Plot Plan
SOUTH
I hereby •rtify nforma
as shown.
State License No.
22301 10073
Ind. Ins. Acct. No.
REQUIRED
TBJ
Plumbing Permit
nr Heating Permit United
H Sewage Permit Long
1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
sub is correct and there are no other structures locat
Owner or Ag Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCT!
THIS IS NOT A PERMIT.
C9, * DO NOT WRITE BELOW THIS LINE
Your street address will be ) S'* /
Sewage Permit Number Issued Building Permit
Remarks
d on this property except
COMMENCES.
The zone is !r r
Receipt Q r gg..Issued
Form 523 Bldg. Code
J
•
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/".., ft -'
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••27
L‘) A f7; 7 R.:: )4-0
R. H. HOOVER, INC.
TORS
E. 9207 Mf..301•1
SPOKANE, WASHiNGTON 99206
PHONE 924-9520