1972, 03-31 Permit App: J2419 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401 `t
APPLICATION FOR LAND USE OR STRUCTURE PERMIT o
GENERAL REQUIREMENTS PERMIT FEE ------ �__4_________
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 mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. 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 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 Ak,A Indus .ri ag Address 7 E. Mission Phone Ke L.-0638
Architect Phone Engineer _.__ Phone
Contractor AAA IndUStrieS Address Phone Ke i -06-,i8
Legal Description of Property (Give complete description from deed, tax receipt, etc.) # S -
T•ot1),, R10ck 13 Rill Crest Acres; third addition. Spokanp. Wash.
DESCRIPTION OF WORK: New X Addition Remodel Moving _ Bldg. Zone Fire Zone
Size of Lot 100X 125 1 Sewage System Pi i-VatA Stories 1 kb�
Const. Frnme Dimensions 50 X 28,- a a -X 43? Total Sq. Ft. Valuation 311.000-00
(Frame, concrete, brick, etc.) 7/1�1
Rooms Baths -2—Basement Foundation Const. Concrete Chimney antireplace 2
(Full, part, none) (Kind) (Number)
Heat. System Gas Type of Roofing CgMp0Siti0 Ext. Finish Wnnri Si di ng Int. Wall FinishDry�w ll
Use of Bldg. Home No. of Units 1 Bedrooms_
Garage or Carport Attached-- AtttaehPA 22 X 219 - 616 Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
See attached plan
SOUTH
State License No.
0 K
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
M Heating Permit !/
NSewage Permit [/
Plane RnnaivnA
Plans Checke
Plans Return,
Plans Picked
Plans Mailed
I hereby certify information su it ed is correct and there are no other structures located on this property except
as shown. ,_
* Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be / 3 _�/,: (f S-�tk a-,"- The zone 440gL����
Sewage Permit Number Issued Building Permit Receipt g /z§�j Issued
Remarks -- -_ QA
Form 523 Bldg. Code
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