1975, 04-24 Permit App: K7312 Fire Damage RepairCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. N, 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT '2-3-�
GENERAL REQUIREMENTS PERMIT FEE
PERIIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of RAY
kind or alter any building or structure already erected, or to change a land use Construction mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
MATER. 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 le all cases by County Resolutions Nos. 45-133 and 47235.
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 he approved by the County Engineer.
ROVING 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 dedicationsand 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
Name of Owner olaatazirM26.,ivanMJ Address
Architect Address
,F 4, ge,20
Phone 7//7-44/S 7
Phone
Engineer / Address Phone
>✓
Contractor 0-444Z Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, ete.l ,/bd-( �$39� -
,Ea ,r. I -47-Z ALi .c/ors li,l-K G e. 13RtDES SVR, HoMi
e� �, �f L, .&AA4.td41- 0PPORTLAI ITV
DESCRIPTION OF WORK: New Addition Remodel X Moving Bldg. Zone / Fire one 3
Sewage System 1,1/4471-4/4-.onst w .ftinett
/ lly (Fr„ Conc.. Br., etc.14 o
Stories LDimensions g/2/X4,0 /r Total Sq Ft /.241) Valuation ffT4d—
Rooms fa__ Baths/ Basement Foundation Const f4,t rt ,cit', Chimn t t Fireplace /
Fu I. part, none' (Rind) A IN b�of
Heat. System we of stiExit Finish P--i41iwc/l, Int Wall Finish f 1 At-c..�-
UseofBldg. B'1 fr/nt 42"gazee 4Ce.A., II No of Units —Bedrooms 3
Size of Lot 4.2 .5-X /41.2 1
f(fi PLOT PLAN .1/644.64?.GQ.(-
(6% 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
I hereby certify info
as shown.
aQ�w
SOUTH
State License No.
2.23-0/-h3 RG,
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Penult
wSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
oration submitted is correct and there are no other structures located on this property except
— X �
-24-73
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THI$15 NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
*Your street address w111 be �1 le / e , 7zit. The zone is
2 -Receipt 7-1/49 - Issued
Remarks
Sewage Permit Number Issued
Building Perm
Form 523 Bldg. Code