1973, 05-02 Permit App: K1504 Residence _ County (of Spokane, Washington
'�/t3BU DING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
CATION FOR LAND USE OR STRUCTURE PERMIT d —
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 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 QF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
H_ hway, 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 996/'
Name of Owner _. i tt_e„'. . .' •.-. - •ddress _ ... 3- —_ - Phone 4S'S- ' 7‘,
Architect �— Phone Engineer jr Phone
Contractor I ” - �- Address Phone
Legal Description Property (Give /cymplleete description from deed, taxJreceipt, etc.) 71 (1.4 .--?;7 -.4./c? ...Q cS'
All. ac::9 +� — ." — a l -k-`e��l - C. C.�{�1 C� adds
DESCRIPTION OF WORK:New Addition Remodel Moving Bld:r one / Fire Zone
Size of ,t 76' --• 7,17/— 1/(,, ' /G,!9/ Sewage System .• - - Stories /
/
Const. � . ...e.4z - Dimensions 41•'? oS Total Sq.Ft. .. Valuations'/ Sb CJ_
(Fra y)•,cyncrete,brick,etc.) /')( ..3/2 r
Roo/ Go B�ths' Basement Foundation Const. ?h--•t-2..P . Chimney Fireplace
(Full, part, none) ., (Kind) (Number)
Heat. System--.A.f - `q.. Type of Roofing Ext. Fini ///}}} �U� J� Int. Wall Finish
Use of Bldg. 41,/f��`t .Lt e orer7,_ ^ c' Q., No. of Units Bed oms 0
Garage or Carport Attached Private Det•,, hed
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) stree or road locat ons; ) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) di nsions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH State License No.
Ind. Ins. Acct. No.
) REQUANI:
.0 ,
Plumbing
Permit �,
1 mHeating Permit
m J
to / N Sewage Permit
-i ti")) .___ ,)‘,,O./7 -I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
S •UTH
I hereby cer in"ormati.• - bra' e-d is corr and there are no other structures located on this property except
as show . � _ ..r� 2
/ J-----c2
er • Agent Date
A LAND USE OR TRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE '• a
-- . u /
.•..� w
Your street address will be A.-� 7 C-r.L� The zone is AV t - ! . '
"*Sewage Permit Number Issued Building Permit 0 Receipt3a/ Issued .
Remarks C- � �� 4p �! ,
OD
Form 523 Bldg. Code
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