1974, 12-30 Permit App: K6556 Residence -fir '`.memp'.New-
.
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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. p
c WATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs C
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.
APPLICANT FILL IN BELOW THIS LINE 4rn z_ qgG_s 7
Name of Owner_ Aft.+:i iv_. 1.. '.....1.1,6 Address 14318 E-10 th Phone Wa 6 0073
Architect Same Phone Engineer Phone 5 AM t.
Contractor AAA.�gT"`i"``�i-J AR-r _ Address Z#ji1 APhone
Legal Description fiY PYoperty (Give complete description from deed, tax receipt, etc.) J .0 3 —6-5-°F
Lot 3 in Block 2 of St. Mary Addition, as per plat , Vol 4
Page 90, situated in County of Sokane Wash.
DESCRIPTION OF WORK:New___Addition Remodel MovingBldg.Zone Fire Zone
Size of Lot 106.29 D X 110_19'/ Front Sewage System privet Stories 1
Const. frame Dimensions Aprnx,, $/)4// 34 X 70' Total Sq. Ft.2100 I Valuation 40,000.
(Frame,concrete,brick,etc.) Duplex Garage 728'
Rooms 10 Baths 2 Basement_x Foundation Const. concre a Chimney Fireplace 2
(Full, paft, none) (Kind) (Number)
Heat. System f or • air Type of Roofing comp• Ext. Finish Al. siding Int.Wall Finish drywall
Use of Bldg. i hu 7i 1 P x — home No. of Units 2 Bedrooms 4
/a.
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 a'd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH ,,Ril".. at.- State License No.
Ind. Ins. Acct. No.
tr.
See Attached plan REQUIRED
Plumbing Permit
in Heating Permit
in D
N N Sewage Permit
—1 -
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted, is correct and there are no other structures located on this property except
as shown.
, ,_ ; `l %{ , 7l7_ ,,---- Dec 30 74
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
6' THIS IS NOT A PERMIT. )
(M J -144.44,,Z , DO NOT WRITE BELOW THIS LINE
Your street address will be . 2t'j i-C .) CL e zone ifal...Wk Z-•Joiti
Sewage Permit Number Issu Building Permit / 6 5. , ceipt ff9 Issued
' Remarks C,K. 13 ,
Form 523 Bldg. Code
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