1976, 07-15 Permit App: K4686 Residence r
County of Spokane, Wasigton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT r..,..3 et--._.-s_f
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.
T ;PPLICANT FILL IN BELOW THIS LINE 9'/ er/‘
Name of Owne ._. sem. ii�/s.,, •�./ .- . Address •a. iC. Phone9+•27`"'"57 f Ef
Architect IRL�T7%f�/1f'�i Address '1 Phone,..24 -%5--5-5-
Engineer
y T55Engineer Address / Phone
Contractor s--11.e. Address .51C-11..-L' Phone57e--„,..x._
Legal Description f Property (Give complete descr .tion from deed, tax rec ipt, etc.
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`r X-�? -Q eta, o1.�L � e3
DESCRIPTION OF WORK: New Lam''- -Addition Remodel Iflfoving BI..r Z./A0, Fire Z ne
Size of Lot /p O'eX/7s/x)73' x/671 ��DfXySSewage System . _ (Fr., c., r., etc.)
i
Stories / Dimensions //1/ ,L:,. 1_1•..i s. 1• : ,= Sq. Ft _ < • Valuations? oo-C.
Rooms 7 Baths al. Basement Foundation Const l ��!, ! �- f •V/
_ Chimne ,_ .. •• •place
/ Full, part, no in. ( um er
Heat. Syste '� N Type Roofin• !./ ,/''- E t. Fini // _� i, -. Int. Wall Finish
Use of Bldg. ,_ �r •...- , _ �.- •/� .„ /, i /‘_ .4/L! I MiI. Jir' o. of Units Bedr..ms '�
i
r� CV /'//- - 4. PLOT PLAN I
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. CREgCENT1, 1
. ib-• 7
NORTH COMMERCIAL State License No.
Ind, Ins. Acct. No.
N
1 7
r REQUIRED
Plumbing Permit t V A. X4-1 —
s.
Q up' ,- A in Heating Permit •in
cm ry --.., .0-_,
NSewage Permit , . 1
-o -o rtm.64
Plans Received
Plans Checked
I I
Plans Returned
�
f Plans Picked Up
VC pv{�7r• cRes� Plans Mailed
SOUTH
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I hereby c t• infor ion •mit . is co ect and there are no other structures located o this property except
as shown. ..
Gte,(11 1 44/a X ' 7 /-s-/7a
or Agent Date
A LAND USE OR STRUCTU : - PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9--M 744,4, DO %
I T WRITE BELOW THI S
Your street address will be Q 4. I "i •• 'C �' The zoneI. ��
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Sewage Permi N er Issued Building Permi _ •�--, Receipt �1 t Issued
Remarks Cis- - 4,:--..r( 'ta.i.--�.L .1j -,ti - --i,--e-e--d-,_ ,L.,c; X,
Form 523 Bldg. Code