1974, 05-01 Permit App: K4425 Residence Coun#y of Spokane, Washington Av w , �
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BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON' 99201
APPLICATION FOR LAND USE OR STRUCTURE PERIVIIT
GENERAL REQUIREMENTS PERMIT IEE }L7-C%)-
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 aith 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 moves 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 „"tr �.�,, ��. ;, •. , �7
Name of Owner s.` / i ilk — v. > •ddress k (cue S /9 Phone 5 3.5 /9/9
Architect 'hone Engineer Phone
Contractor- E- Address _ Pho
Leg. Descripti•• of Property (Give complete description from deed, tax eceipt, etc.) r--/ /� -•c /
&rte-_ ; Wit- l -4-74(i_ CZ_ i ,-)17-, -4.5-A) .1 ,./ 6)
DESCRIPTI N OF WORK:New X Addition Remodel Moving Bld .Zone Fire Zone
Size oft _'. ea- ' ' ' 4-'.k'�- wage System c• .Tories /J.L
Const.' . y of Dimension 67-3A'Z(f .'f X I et up, '/k43 02°A/'LP tal Sq.Ft. ,�`i C� Valuation Cl .t�
(Frame,concrete,brick,etc.) �'��l1GG ' UN: `+c. /
Rooms
Baths 2-, Basement. 11:- Foundation Const. C-e-/''-c---1-4-Z-4---- Chimney494ts-kFireplace 1-✓
,{ (Full, part, none) j/ r' ) (Kind) (Number
Heat. Systema '/til ype of Roofing '�/ e-- Ext. Finis &et ker t. Wall Finish z[e
Use of Bldg..N4..- L. 1-,-i-L E •Az,J.,....-e('
J,.-e('t%-,,,,,,..-_,___ _ No. of Units_ Be ooms •
Garage or Carport�Tttache C 1--‘Ce-A9--- (-1-"►'A-C��1--' Private Detatched
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.
is,q .
NORTH State License No.
e•ZY•-0 / / 5`42 i
Ind. Ins. Acct. No.
�AO 1
r 31 L REQUIRED
43 Plumbing Permit
-ie 4. m Pleating Permit
to 14 Ut Sewage Permit
-i -I
U Y �� v Plans Received— 1
�4.VWN e G Plans Checked
U ' Plans Returned_
S) V Plans Picked Up_
e'/ I. Plans Mailed_
'10
SOUTH
I hereby cert'-y information submitted is correct and there are no other structures located on this property except
as shown. rti/ d) 4 - 101 AC-4CyY" / /1/4c7 (/pr
x�JfOwner or Agent '��.z.��/ Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
//�� InesoirooDO NOT WRITE BELOW THIS LINE
Your street address will be A ‘2,:),,,i A 2,C/zi_e,” 1 e zone is,L : '4- }, ,o
Sewage Permit Number _ Issued Building Permit.''••f /Receipt :?` ;. 't Issued
AR
Remarks
Form 523 Bldg. Code