1975, 01-06 Permit App: K6580 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT oc.'
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
A 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.
r APPLICANT FILL IN BELOW THIS
LINE
Name of Owner /,4Ni( ZL. se 0 y
,6. Address K/, /un4Llii✓ 7 Z)%R/a Phone 4.7i 431S
Architect (1 �► #.c' % ./o Phone Engineer '` Phone
Contractor trex4,-fit' C eo, Address 7804( firW/ ✓ie% Phone qi9-A3 8
Legal Description of Property (Give_complete descr'ption from deed, to receipt, etc.)
,p7' 76 -/3L 3 - #, ,4ryeR j ,�� ,9n���.�. '��dl , A.A6 kiAi: j 3 j - C 3 e �
DESCRIPTION OF WORK:New X Addition Remodel Moving BldA..Zone / Fire Zone
Size of Lot Sewage System Zp 72t Mui( St ' s /r'
Const. /Z.4) Dimensions 52.‘19 K 2V-o" Total Sq.Ft. .2-0 ;3 Co Valuatio .9/7
(Fra e,concrete,brick etc.) /1 !4 / /
Rooms 7 Baths _Basement Foundation Const. �Oit)6 267 . Chimney Fireplace
(Full, part, one) n (Kind) �-� (Number)
Heat. Systemp. 4,4‹, Type of Roofing JI/Agf-1..f Ext. Finish k/OOT) Int.Wall Finish�L/2Yvvf1 G1'i
Use of Bldg. . 5./De/iC,t s L, No. of Units / Bedrooms 3
Garage or Carport Attached 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.
State License No.
�,/,r,24�'—i NORTH 1Z-33.., 01-(429
Ind. Ins. Acct. No.
be_ ez
REQUIRED
Plumbing Permit 8�etTOAJ
in Heating Permit ^/1/0//14Z)
to N Sewage Permit ( Y0(t.v /'A?Gfil
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I her:.,Auk ify 'r o ..n '.n ubmitted is correct and there are no other structures located on this property except
i.►' ;t. 4.1; I �,o , 6' /W5--
• . gen Date
A-LAND USE OR STRUC URE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(1-4,t) DO NOT WRITE BELOW THIS LINE
Your street address will be kRec zone is/IDSO,E? �"
Sewage Permit Number Issued Building Permit
' 4"13 Receipt Issue•
Remarks
Form 523 Bldg. Code
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