1975, 01-24 Permit App: K6665 Remodel County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT -1
It
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• s ANTS. Builde should check provisions of covenants or dedications and easements running with the land
which a e ' .rce,..ble throw.' J 'il action. County Officials can not bring action to enforce covenants or dedications.
�;. IS_ ' PPLICANT FILL IN BELO THIS LINE + �y '/
Name of Ow.,-11 I►�r .r _ ;:.. C Ilene Y ' i 17 7 ----ko'
dili-_ __ ,v Addre �i d_ Phone
Architect Address O4 -, Phone 'c =-c�574✓C-"
Engineer %�,Z-7-7�`_. X&'--e'l- Address Ov'f•-?`Phone :te-C 6,>4
Contract•?-"--- "i > �.r c '-� Addres �' .-'17----9/.. C.-74-9�1x�� Phone
Legal Description of Pr.pert ( • e complete description from de:., tax receipt, etc.)
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Fire Zon
DESCRIPTION OF ew Addititfn Remodel Moving Bldg. Zone /
Size of Lott J X06, Sewage System.... .. .. - Z.--. onst. - F'(Fr.
Val ti etc.)
Stories � Dimensions ii_ .._ _ __... = / ,�� d" Total Sq. Ft. "'"- -�/al tiona�
Rooms Baths Basement ��-C2 Foundation Const. ,_,.... ._4-2...'
,.� _t -1-1-----v-- Chimney Fireplace /`•'
(Full, part, none) ( ind) (Number
Heat. System Ty,Pe of'�Roofing ..'_'"--:7::---;r--+• Ext. Finish Int. Wall Finish
Us• of Bldg. % i .t_. 7 / _ -' ___-7,;.____. No. nits_Bedrooms
/1,# e POT PLA
Draw s.-treii with dimE3hsi• s'shotGing: (1) pro erty lines; (2) street or road loc•tions; . : ion o exis _ :ad---._ _
proposed buildings; (4) distance to property lines and treets; (5) dimensions of .ui.• • (6) location of sewage sys-
en :nd water supply lines. ,•,/,r� ,t. .,r--2, ...A-Q.-1041,Z
NORTH 4-0---1,-----e a') '°d-W IV -
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Plumbing Permit
---/"-4..•"'-�, y-_ 7 Y .
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nu Heating Permit )`
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N a:,:, � , ` ... N Sewage Permit
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Plans Received
`�- fie' "'�� C�� � „,e7-•`" � Plans Checked
� Plans Returned
Plans Picked Up
y / u v - -- Plans Mailed
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= - o► - _. ,►itis_:-,�
SOUTH
I hereby ce information submi e his correct and there are no other structures located on this property except
as shown. �' /
- - - , cam','! , 4 . , / ° ;l-- V
D .-r or Agent Date
LAND USE OR STRU .RE PERMIT MUST B ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
HIS IS NOT A PERMIT.
ill• NOT WRIT BELOW THIS LINE
n
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Your street address will be _is/ 4 , _.// ,t.& t- The zone is 6. - ,-._/cJ,"`�
Sewage Permit Number "sued Building Permit j Receipt - Issued /72,7/7/__--/Z/7J1
Remarks /AZ- -./-a1 75 - �t .> '-o• AO' -- ,�_ ,��- £r '•-• /
,
APPROVED AS NOTED
DATE ___...... „,,2_7 9.
•
Form 523 Bldg. Code EY:; /