1973, 04-03 Permit App: K1110 Residence 1
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE_. J-48
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 PROM 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 he
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 S to
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.
/y �A�PPLICANT FILL IN BELOWeTHIS LINE / /
tame of Owner .�✓lrii ".. .6--y) Address ( . �d4 9Phone ��Y `J-3rehitectPhone Engineer % 2 Y Phone
Contracto AddressCc--,-7Le_ _ Phone �G- {_1
egal scription o roperty (Give complete description from deed, tax receipt, etc.) <=k9.575-3/3 as--C),7
k' _I Arne-� -e.— e'
DESCRIPTION OF WORK:New Addition Remodel Moving Bldg.Zone / Fire Zon
Size of Lot /ll a/ i, /S-E)/ \\ Sewage Syste _Stories / i/�
Dimensions /7 jt 3 (o (do' i/" I Total Sq. Ft. a ac.?O Valuation O G
(Frame,conrete,brick,etc.)
•ooms Baths '"-2-Basement r.),Foundation Const. c.- ) /7C' 1"e-,71e.--- Ch e$ '" "Fireplace
.0 P/ems gull, part, none) (Kind) (Number)
Heat. Sy) em Type of RoofingS� .eS Ext. Finish �er't.g>ao dc
� /' 7 Int. Wall Finish �1 �/cc1'
Use of Bldg. "j --7, ceO17,- 57 ..-- -.S:„ � ,p/' , No. of Units Bedrooms C J
Gara r Carport Attached %r• r Private Detatched fJ 0
PLOT PLAN
aw 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--ns�� of buildings; (6) location of sewage sys-
tem and water supply lines. ��--�/2
NORTH State License No.
G��.e- o?a 3-o//5iow�
Ind. Ins. Acct. No.
e./pin/.
/2 - .2-6 -2?
REQUIRED
L.:5 / 0($1, / (4,47',
Plumbing Permit 7z C4 J
V /// .4
Heating Permit Ser----"„..,Ser----"„..,inini
n / ?' '/ n+
y, Sewage Permit
_,
a / /9
_,
Plans Receiv••
Plans Checked
Plans Returned
Plans Picked Up VIEW
Plans Mailed liliiiillik
SOUTH
I ereby •rtify 'nfor ion - •m tt correct and there are no other structures located on this property except
as o ' 3
• ner or Age' Date
AN ' USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
S IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be J i' '
0 / or- le zone is i- •
Sewage Permit Number Issued Building Permit ••ceipt;2.z3 e1%I Issued
Remarks ' , r
-.'�' �� _L �i � ' /.r .ems yr..---A__4,_
Form 523 Bldg. Code We_...,,_005,---e- ,61--7--C-/ ----7-2-2 Cir.", 2
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