1973, 08-15 Permit App: K2520 K2520 Residence TA
Sim t,FurV E;r °g,. COdte Dept.
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C unty of Spokane. Washington
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01Weld BUILDING
CODE DEPARTMENT. COURTHOUSE. SPOKANE. WASHINGTON 99201
(S/'PLICATION FOR LAND USE OR STRUCTURE PERMIT ,..--
GENERAL REQUIREMENTS PERMIT FEE
IT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structuref any
rind or alter any building or structure already erected, or to change a land use. Construction must conform witb the
pokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
)4TER. Water supply must be approved by the County and State Health Departments. Where work on water connections dislrbs
Lhe 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 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 9,/ 7f /25 2
_ /7' /9 /SST
Name of Owner r� . 4 1P 0
ddress Phone i Fl.
Architect.44 .7--- 'I A Phone Engineer Phone
Contractor ViG._�/, Address Phone
Legal Description/of Property (Give complete description from deed, tax receipt, ...etc.) X 333 .2Ka
3 6 0,7 0/._..et e 9 6, O pa 6 7 e . __-&<, I i/, / 77 //3 /a5- a 5 - .4/..--/ 3 >y 5- -qa3 Er,
/
DESCRIPTION OF WORK:New Addition Remodel Moving Bldg.Zone / Fire Zone 3
Size of Lot g 6 U X 3 3 S Sewage System.Svt. ..• r Stories S6 - /
Const. /-/-4.-a--,--,-,-. Dimensions P-N X 6 d — 5-,)fret Total Sq.Ft. •5—O O Valuation:9 o o•o
(Frame,concrete,brick,etc.)
Rooms P Baths 3 Basement A/1/ Foundation Const.CO n Cre.re- Chimney/31-0-grit/(Fireplace at.
(Full, part, none) / (Kind) (Number)
Heat. System ki e—/,# Type of Roofing�- C'n,--3-, t. Fini h /id 5-d S,c/ Int. Wall Finish b'-yw 4 /
Use of Bldg. ,�Q,,� c.
e� j4v .. iP uu�:-�,.1c -C/T�-Pv-e . . No. of Units Bedrooms y
Garage or��Car�rport Attached Private Detatched
�c.") PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
,�iroposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
item and water supply lines.
NORTH State License No.
a 6 U ' \ Ind. Ins. Acct. No.
ss
1/45---,a9REQUIRED
cr. Ta C
vM n
F / Plumbing Permit
m Heating Permit
in
to / H Sewage Permit
-a -4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
y Plans Mailed
i;P-'
dty1n Nvea& SOUTH
I hereby ' y info ti.¢�witted correct/there are no other structures located on this property except
I as shown.
Owner .r Agent Date l'
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
e-1,1-t- o-,,, •2114 DO NOT WRITE BELOW THIS LINE
Your street address will be f /( .2 2 3 9L/ (_l,.a�,c„—¢, a zone is f j•
' ``"4,L.C. •< :?'
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Sewage Permit Number Issued Building Permitks D`OjReceipt<4OSS IsuS ed
Remarks -
yy 9
Form 523 Bldg. Code
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