1975, 03-25 Permit App: K7013 Residence County of Spokane, Washington
• BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT IA dj
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. There 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 oy County Road Department and work must b)
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 Sta)e
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSO't 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 re enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner E Address /70 2/ E. lr.r//EJ/fy Phone ;119 /�/ -6Y77
Architect Address Phone
Engineer / Address / Phone
Contractor I�!'44//K ,i'¢/�,'FA // Address 70 2/_L J( E//ff(t/ Phone !-1 / C/J[�
/4 y7
Legal Description of Property (Give complete In trip ion from deed, tax r,e ceipt, etc.) /
L o r £/ /064'
,�L 4' 2 (0,1,6o /-'/fr ,9A 7JicAJ
DESCRIPTION OF WORK: New )( Addition Remodel Moving --_ Bldg. Zone / Fire Zone -7
Size of Lot /o<�o / ,X /11 Sewage System ,7S U!/[/ onst. F4'/ E
tf( /� 37 'x 2 y' 4 G'A4 6'E . Sq. // 7 6 VFr., Conc., Br., etc.)
Stories Jl� Dimension o X �y Total Ft. Valuation �� J�
Rooms 7 Baths / Basement Ni Foundation Const. Co,'(lr Jai° _ChimneyfrOt- e Fireplace
,,(( (Full, part, none (Kind) / (Numr
Heat. System .E11/ Type of Roofing CO/77/7 Ext. Finish hoof Int. Wall Finish 6y J.-,,,,ox '
Use of Bldg. /I eche/ (t No. of Units_Bedrooms X
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.
NORTH State License No.
(67-- ,
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Ind. Ins. Acct. No.
" /A/ �/Q�a 77' °�� ./417 177
r 1 p ._-- �- REQUIRED
TAI ,/^'if/' e / V 16 Plumbing Permit �L Et/E4
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N Sewage Permit f/�fip- AsA
Plans Received
'P c /1 Ili c/1"17//9 w//VPlans Checked
Plans Returned ,
Plans Picked Up
Plans Mailed
SOUTH
I hereby certif .' ormation submitted is corr and there are no other structures located on this property except
as shown. ,
__....L.,..... -- _ 0_,..,6„. 744/74,
ner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9-,,,o -n-. 0 DO NOT WRITE BELOW THIS LINE
t.7„Liv.---1-----7.;
Your street address will be 4'e-,,.-4 - The zone is
Sewage Permit Number Issued Building Permit k-.)0` Receiptf. cj 76 Issued
1Remarks r
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Form 523 Bldg. Code
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Basic: 974 �Sq.Ft: Legal : /-0-7- S, 64Orle A10N,4 AsT /gal/-704/ ,
FHA Case#: Job #: Address:
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Mortgage \ o: ISAvvr� 4p Es• f
CIAL INSTRUCTIONS:
route -LEVEL
Power Co:'l4 4, rj Water Co: h h44
Plumber:/,/GCLLf�Q Excavator:�opo ,