1973, 04-12 Permit App: K1180 Residence r-
Ce1unty of Spokane. Washington
//j/7ILDING COD DEPARTMENT. COURTHOUSE. SPOKANE. WASHINGTON 99201
f 7flPLICATI N FOR LAND USE OR STRUCTURE PERMIT
G NERAL// ,,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.
SEWAGESTEM. 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' f 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.
�� .14111•LICANT FILL IN BELOW THIS L� - ,
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Name of Owner I,/L'�A/ v,. __ •ddress 42/0 0/ Phone 8
Architect Phone Engineer Phone
Contractor ./ Address Phone
Lgal D cription of roperty (Giv,;�;omplete .• cripti•• •••. 'tax r e , etc.) �a� 3 _ ,,,,,. 6
7 _/.44ez- -,---9 <a/SI-
DESCRIPTION OF WORK:New k Addition Remodel Moving I El.•.Zone Fire Zone
Size of La 98 ..y/v34 S- ::_r: - .s. '- -=_— /
Stories 61-0
Con . •i_.• Dimensions • r -2 �O• --1/- /••2-K/not. Sq.Ft. /' o 3 6
(Fra•1w,co rete,brick etc.) / Valuati
Ro.�s .3 Baths - Basemen1 Found tion Const. Iii ' . - Chimney Fire ce o2
j -
rnye
11 'artj'one) (Kind) (Number)
Heat. Syste • '- y e of Roofi Ext. •'- C,--J'.j Int. Wall Finish
Use of Bldg. �a_ .�/ ,�,_ No. of Units Bedro stJ
Garage or Carport • . ,ched �/ i 5� .1�.'. W • 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. n A
1�-f�tu a, V i1�41 `�W+S"_
NORTH 1 1.t. , State Licens No.
Ind. . Acc No.
REQUIR
Plumbing rm'
en Heating Permit
m cn , ( N Sewage Permit
V A
1 Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
er y ce t'fy infor ti n subm ted is correct and there are no other structures located on this property except
assh \ //a--2_,/
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
E -ttitzit e-,2: 1i-- z_.Zi DO NOT WRITE BELOW THIS LINE /
dir
/____-
Your street address will be /. a S- I - .�_���, w Ise zone is — at,. .-_'
p Sewage Permit Number Issued `wilding Permit /(//dO Receipt_pp 70 Issued
4 Ittilarta
r. s-"s,
Form 523 Bldg. Code
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