1974, 08-22 Permit App: K5596 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /0-0
GENERAL REQUIREMENTS PERMIT FEEGENERAL
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 most Conform with the
Spokane County Building Code and Zoning Ordinsece. Construction 1s subject to inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where work on mater 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 is all cases by County Resolutions Nos. a5-133 and 44235.
SET -BACK FEW PROPERTY LINES. In most zones and under most circumstances, a set -back frac the front property it... 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 atruct ore abuts . State Highway, clearance must be obtained pertaining to set -back and ingress
mad egress.
COUNTY ROADS. Work on street right -of -ray may not be performed until staked by County Road Department and work must be
performed in accordance with stakes. Point. of ingress mad 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 most 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 eashe eats 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 Address Phone
Architect Address Phone
Engineer Address Phone �S
Contract e1i - Addres: ,Ce// I
Legal Description of Prone y (Give Complete description from deed, ten receipt, eto.l - �f y N V
DESCRIPTION OF WORK: Na. 1�' Addition Remodel Moving_— Bld, Zone FireZone3
Si xe of Lot 40' I tJ7 L Sewage System S T ponst.
I Fc. Co...,Br., at..)
Stories Dimensions 3 r O.0. Total Sq. Ft. lB /A �0O yalualio
Roans Baths '� Basement Foundation Const Pon c — f e _Chimney^— Fireplace �-
-`(Full, part, norre (Kind) . (Number
Heat. System Co -S PA Type of Roofing ro T _E/xt. Finish �4 n �: r� Int. Wall Finish -L-
Finish y •'tea //
Use of Bldg. 6, ✓ TT r n Ey'� No. of Units _ Bedrooms
✓ PLOT PLAN
Draw sketch with dimensions showing: (1) property linea; (2) street or road Im att...; (3) location of existing and
Proposed buildings; (4) distance to property It ... .cd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water sunnly lines.
NORTH
rti�°th��
Sp LA'%
Io LAT
State License No.
Ind. Ina. Acct. No.
REQUIRED
Plumbing Perm
ma Heating Permit
NSewage Permit
y
Plans Received
Plans Checked .
Plans R turned
Plans Picked UI
Plans Mailed —
SOUTH
I here rtify inIortt submitted is correct and there are no other structures located on this property except
as sham.
--'-`���%�
e or Agent Dete
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO/NOT WRITE BELOW THIS LINE
Your street address will be t- //JO J le r4 ? [Ile f'1 u"T The zone is
Sewage Permit Number Issued Building Permit % Receipt Issued VA
Remarks —
fo.m 523 Bldg. Code
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LOT* 14 IN BLOCK 1 DOBRAVEC �
3RD ADOIT I ONS SPOKANE, WA SHIN4TDN'•
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� PROPERTY LINE
90.0'
10TH AVE,
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