1974, 04-04 Permit App: K4106 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ,yta
GENERAL REQUIREMENTS PERMIT FEE I
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any I
kind or alter any building or structure already erected, or to change a land use. Construction must conform with the
le U 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.
l SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos, 45-133 and 47.235.
SET-BACK FROM PROPERTY LINES, In must MOUS and ander most CircumctaneeP, a get-0401; from the trent property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street; and a 25' rear yard ate -required.
STATE HIGHWAYS_ there the structure abuts a State Highway, clearance must be obtained pertaining to setback and Ingress
and egress.
COUNTY MAW Work on street right-of-war may not be performed until staked by County Road bepartment and work must be
performed in accordance with stakes. Points of ingress and egress must be approved by the Coupty Engineer,
MOVING OP BUILDINGS, A petmit in rr;gliired to mOYU ah existing building, When a building in muted on a County or State
Highway, clearance must be obtained from the County Engineer and/or &tate Highway nepartment_
ACCESSORY UUILPINUS. Accessory buildings (garages, 0104s, oto,) require a separate permit.
RESTRICTIVE COVENANTS_ Builders should check provisions of covenants or dedications and easewents running with the land
which are enforceable through civil action. County Officials can not bring fiction to enforce covenants or dedications.
A
APPLICANT FILL IN BELOW THIS LINE ,. , � r _, q?,v rl r�
Nemo of Ownor 411, _ A. - --k Al _,-r .'.' Addro f - U 0.5 ; if L phone 6;16--79 i
Architect Address Phone
Engineer Address Phone
Contractor 4..44,L.?.- Address � � �/ . Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) - �''C�(JL.. P1wR1 7 o at.-ffO/.
X.0 7' j) /34J( I CLA r/...,. P,i RR es TAT
DESCRIPTION Of WORK: New``� K Addition Remodel Moving BI g.� Zen ,......./____ Fire.'%one
Size of Lot �-" A.4 Jd'1.� X`- Sewage System)8 ' �6'rJ Const s-Jei'a4 -L
11 iI Fr., Conc., Br., etc.) O
Stories/ Dimensions a X.'6'3 — I(X f" - 254 '' YO/e34-
Total Sq. Ft. Valuation
Rooms c Bathes �' Basemont Foundation Const. lA "1R-'<" Chimne 4'`R T ireplace -t
41/.4../F.A
Full, part, none (Kind) ( (NufnberHeat. System - Typ of.� Roo`(I�fing .I / '.I L Ext. Fi ish Int. Wall Finish //- " 'I' beat
Use of Bldg. 4rwfs.LZ); j; DA .p-�14 '� i z/ No. of Units—Bedrooms
` t PLOT PLAN ----- --
raw sketch with dimensions showing: (1) property lines; (2) street or road locations; ' location of eaistirii,3d
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildi._ ; (6) location of sewage sys\
tem and water supply lines.
NORTH State License No. .,
223 -U/- i 3tz:2"
Ind. Ins. Acct. No.
'
PUT 01V l'/ _.
REQUIRED
Plumbing Permit
1 in Heating Permit
m
to VI Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
CK _ Plans Mailed
SOUTH
I hereby cer fy information submitted is correct and there are no other structures located on this property except
as showiv 1C t '-AVIV—I �
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
6.M, 4DO NOT WRITE BELOW THIS LINE
Your street address will be ,C 1' �' 7 2 r
I/1
L, /��Ci {t L The zone 18'4.r,,4...Li,�/i t,t.4
Sewage Permit Number Issued Building Permit ,,,,/ Receipt " ,1 ' f Issued/ `
Remarks /I0
form 523 Bldg. Cede
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