1973, 07-26 Permit App: K2350 Residence• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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
Name of Owner t.l4'tvme. C Address Phone
Architect Phone Engineer Phone
Address 1101 i E< . M t? 1.1.o:ti Phone W 4 4-(,i 33
•Contractor
C5LkiLANaleS
0Lega Description of Property (Give complete description from deed, tax receipt, etc.)
Y•ar+- F PArCeL, Yt 1854-1 y — 2IO2 E , (o S".3'7 Esf-- of #i. rc S -14
a E t.bt ( i '6 Lock 1. e F �►,.►., � �ti � AAdA kw, to 14
DESCRIPTION OF WORK: New ' Addition Remodel
Size of Lot (o J) X _ 1.**S701
Const. gw►Q. Dimensions-AMC...� X 50'
(Frame, concrete, brick, etc.)
Rooms
Baths • • sement ` Foundation Const
! P
_ part, none)
Heat. System L.ET: f �.b Type of Roofing CO .1np.
Use of Bldg i� eclid ecce
Garage or Carport Attached 144*AC.h J'AY ►7lyri
Moving Bldg. Zone ( Fire Zone 3
Sewage System �.)kapt*C. Stories
Total Sq. Ft. 1-./9010 Valuation / � )
Cc NCtd—e
Ext. Finish
Chimney Fireplace
(Kind) (Number)
M ASc •tt Int. Wall Finish Dry
No. of Units Bedrooms a
PLOT PLAN
Private Detatched
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.
m
to
1
NORTH
SOUTH
I hereby certify information submitted is correct and there are no other
as shown.
Owner or Agent
State License No.
223 c' 1 2. 7 en
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit MIA
`IA E
Heating Permit [3 ,Attcior eudiric
Sewage Permit
Plans Receive.
Plans Checked --
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
3L.>`Ly D � Iq'73
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be -
Sewage Permit Number Issued
57.0'7 DO NOT WRITE BELOW THIS LINE
Remarks
Buil ' ng Permi
e zone is
_Receipt jet
form 523 Bldg. Code
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TRANSAMERICA TITLE INSURANCE COMPANY
W. 808 SPRAGUE AVENUE
SPOKANE, WASHINGTON 99201
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This print is mode so:aly for the purpose of assisting
in locating saiJ premises and the company assumes no
for variations, it any, in dirn.2.nsions an
•1 ascertained by actual suriay.
•