1974, 04-18 Permit App: K4266 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT G
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 must 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.
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
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 press.
c�dUNTY 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
Name of Owner 1�C Ate.A- Address t$ .. S thijeCi`oL11-1S. Phone Cill-Ai ',KY
Architect �7`[ Phone Engineer Phone
Contractor ll o C ' Address %r‘L C. V.aft;".I.e'. Phone 9L4 11 ',(
Legal Description of Property (Give c mplete desc ipt' n from deed, tax recei , etc.) Leri 40 ii&uY
(A iQ& pU 1 -- -
DESCRIPTION OF WORK:New Le Addition Remodel Moving Bid .Zon _ / Fire Zone
Size of Lot uL+A[L. (Se e t1l.. I' Sewage System Stories _____ __
Const.VePrrn&. Dimensions 5O la::) Total Sq. Ft h !9 (1 Vaat�ua iok 44.Zy'�b
,
(Frame,concrete,brie 'etc.) //�' (1veL l * c. b 114te
Rooms Baths% Basement Foundation Const. ( Ce.-elt. Chimney112.1.04._Fireplace
''•• (Full, part, none) (Kind) (Number)
Heat. SystemnnA C 4 Type of Roofing S Ext. Finish '- t et Int. Wall Finish 01"T UJ a•1,I
Use of Bldg. '`lMc4tg. iky c: No. of Units Bedrooms 3
Gara e or Carport Attached Pieueme., kA uckr.42- Private Detatched
PLOT PLAN
raw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed 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.
22.3 rot- 14.1 4i
Ind. Ins. Acct. No.
Qtr. REQUIRED
t ~) PIumbing Permit
,:lb m Heating Permit
N N Sewage Permit
-i 1 ,,,, ..:....
Nd -.
0
t41 4 C Plans Received
'`��Qj Q9 Plans Checked
f0 1Nj ` Plans Returned
Ug. Plans Picked Up
a.1.4* `�w Plans Mailed
SOUTH
I herebyein
mation stted is correct and there are no other structures located on this property except
as shown. T
y—/Fr-7y
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
640 THIS IS NOT A PERMIT.
it
,, '74'G } DO NOT WRITE BELOW
BELOW THIS LINE
Your street address will be 1C� , i 2.3 )L4Le zone is o\- /-��%io2
Sewage Permit Number Issued Building Permit ;t2' Receipt .f j,f Issued
Remarks 11
form 523 Bldg. Code
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