1975, 03-20 Permit App: K7001 Residence 4 -
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
.S/'2//"-, ....-
GENERAL
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 mast 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. -
SF,'l1AGE 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 cy 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
Name of Owner CEA//e /YO/31`f Address /70.7/ E_ f2/.Ea:ef/Ey Phone -17 U-,//�i
f7
Architect Address Phone
Engineer v ,,y� Address _ /�� / Phone
Contractor FI,i/L'/1 !/i/,J7J4R/ Address /7,2/ __ L1✓1f//ff le,' Phone wI y‘ '77
Legal Des9`ription of Property (Give complete descri tion fr m deed, tax recei etc.) /
77 f Grp- 67 , -E�r ei Ft F. /7 ek--r Q f 776'z- ,v, /7c ��7
gf7-Al: /t o -r..frr /77 til. Y'E19/ 5ErT/Lw 2 T-71-,v.J
y y .,,.-3
X 3
DESCRIPTION OF WORK: ew Addition Remodel Moving Bldg. Zone Fire Zone
��A
Size of Lot 7 /r 7jl Sewage System (Fr.. Conc., Br., etc.)
Stories / Dimensions` 1/ / A' '7 // Total Sq. Ft. Valuation 2/ 3�0
Rooms V Baths 1 Basement F�// Foundation Const. Chimney /"7" e--Fireplace
` (Full, part, none) (Kind) c, (N ber
Heat. System 1/✓� Type of Roofing e 0,77, Ext. Finish dt//j,� 7 Int. Wall Finish C.)-7c /, AJP.a
Use of Bldg. /� / EAI( --- ,, Tr-c..-.j No. of Units_Bedrooms Z
PLOT PLAN '-/--� ' =.�,-� -, ,_
Draw sketch with dimensions showing: (1) property lines; (2) street or road locat ions; (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.
x.23- o/-///21
Ino. Ins. Acct. No.
MI//II ('��� (Vt
../\0-1 /8Y 172
0 /b REQUIRED
-1;71( /4//ii, ,--tr it, Plumbing Permit
n i an Heating Permit I///lf ' -rid.,
to 't G 4 7-7;9(///}7 „,;(,41A--,,44.- N Sewage Permit If/E,/- QOM
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certi Affirmation submitted20/7'f-
•
is c ec and e e are no other structures loc d on property except
as shown. J A f
r ner or Agent Date r
A LAND USE OR STRUCTURE PERMIT LIUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. ..,
115A,t, `)/V DO NOT WRITE BELOW THIS LINE _ /
Your street address will be O � .--,n.e c� The zone is ' . —
Sewage Permit N er -� Issued Building Permit k'lou( Receipt Issued
Remarks � , ..,_ .il ��-.
Form 523 Bldg. Code
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PtHA Case#: Job #: Address : /, /74 4 i1 e / Or ,,,( / OF 1/eyy_A—_.
SPECIAL INSTRUCTIONS: retft;^, 7J 7-09y , yy,C- Gty',/'
Mortgage Co: /_imjef///ye)-
Power Co: nifi Water Co: G,/r;,0,