1973, 05-03 Permit App: K1531 Residence County of Spokane, Washington
, BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
d
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
PERMIT FEE 35.00
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 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 j4 t. 9 ei to
Name of Owner II.L,. f'cc:V' Y, inc. Address
N. `C Pine ' Phone 924-9520
Architect Phone Engineer Phone
I Contractor R.H. Hoover, Inc. Address N. 20 Pines Phone 924-9520
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 1, B1nck 5 Orrorti,nity Terrace Estates y '
p "22 5 y3 _- 2cc57
DESCRIPTION OF WORK:New X Addition Remodel Moving Bldg.Zone 1 Fire Zone
Size of Lot 90' X 134' Sewage System public Stories 1
Const. frame Dimensions 26' X 5F'4" 4. 1r 7 6 ::'S',E00
Total Sq. Ft. Valuation
(Frame,concrete,brick,etc.)
5 2 1009, conA ete Prick 2
Rooms Baths Basement. Foundation Const. Chimney Fireplace
(Full, part, none) (Kind) 4., (Dumber)
Heat. System GFWA Type of Roofing shake Ext. Finish-,Tcc'` fi brick Int. Wall Fini1h c`l1'4:all 3
Use of Bldg. residential No. of Units Bedrooms
Garage or Carport Attached 9 car ,:`i t.
Private Detatched
6, JOB # 229 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.
223-01-10C'.,
Ind. Ins. Acct. No.
See attached PJ.ct Plan
REQUIRED
Plumbing Permit ~l'_i��r - i;nited
m Heating Permit Smit or United
en
o in Sewage Permit R.H. Hoover, Inc.
-4
.1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
7
SOUTH �`� t
I hereby cer r .rmation subm is . ahs there are no other structures located on this property except
as shown.
Owner or Agent I Date
A LAND USE OR STRUCTURE PERMIT MUST B ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE J.4-.(..g-
The
�
Your street address will be n , j js2 ,�ii 4t,cc.-r C1 The zone is}RClrl�ii�C�LG �Gc-4v(,....6.4_
Sewage Permit Number Issued Building Permit Receipt-2637S Issued
Remarks ava> -I- . .r'.t 44-,0
/ Q
Form 523 Bldg. Code
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