1977, 02-15 Permit App: K6969 Residence r
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 4-.1--
GENERAL REQUIREMENTS PERMIT FEE
ailair ^REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structt0Pt of any
kind or alter any building or structure already erected, or to change a land use. Construction must conformswith 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
t, 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 CO00(C)
Name of Owner Ji m Address Alk OA Y i ' _ •
• Phone Cf 01- D/
Architect Address Phone
Engineer Address Phone
Contractor Address --:" .-A--14"---12 Phone ►4 --1.----'
Legal Description ort (Gi complete des rip i n from deed, to eceipt, etc.)
r� I A SI Or-,,N-- \tC,� 4 ; i
(0.,,r.
2 z-.2..3---4.9
DESCRIPTION OF WORK: New '� Addition Remodel Moving Bldg. Zo end_ / Fire Z;ne `'
�
Size of Lot C , ,� K. / Sewage System _4:�— FFrnstono Br., etc.)
StoriesDimensihons jeD1eD -4.2 41 Total Sq. Ft. V luation
Rooms '� Baths . Basement r1 i i Foundation Const.. Chimney / stFire lace
IF II, part, none) (Kind) ''p ii-- ,( u ber ri
Heat. System • Type of Roofing Ext. Finish \ ( ` 1 Int. Wall Finish 1�`-h U.
Use of Bldg. K-6'4'
:v�c �� ���G. 1� 1� � ) �� � , f�' No. of Units_Bedrooms
(k''' -.) 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 ESIDENTI - COMMERCIAL State icens,e No.
6c -- - 14 - / CQ
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
um en Heating Permit
N
IP Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submittea • correct and there are no other structures located on this property except
as shown.
"-----i —-
� _,
.2 -sem- 77
Owner ore". •.e Date
A LAND USE OR STRUCTURE • • T MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
644. -71/te/ipADDO NOT WRITE BELOW THIS LINE
-, L ' s �-
Your street address will be .3 /-ry( r The zone is )4")..,/tn G i. ,..5,12441::-..64.
Sewage Permit Number 77��� Issue Building Per it ' • Receipt J = Issued —
Remarks -}7V,,t,L Yilit,iNjoc. F'Uz ..J- X,. w%..; La ` U — I�"._-�.� ,
I Form 523 Bldg. Code
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