1973, 05-01 Permit App: K1500 Residence 1
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT `76�
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 OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
H1ghw, , clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRtFTIVE 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 Ery £4. e L.r( Dv_5 Address /1440 t ? IP, rM 4 'LOi't Phone L&J A44'4143
ArchitectPhone Engineer Phone le
Contractor Ell 4. aH;t4,fs Address 140,1 PE , MALLes, Phone Au-•(o1 i 3
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
4 Olt.
s Ei 1,Cts{ 1 ) }4 (.L. c t A C,yes 1 '+4i lit si.Cl i±i o 4i
P+ y eL. Ps' 27543 - 2401
DESCRIPTION OF WORK:New h..- Addition Remodel Moving Bldg.Zone / Fire Zone 3
1 Size of Lot i 1 )( I If ,----/-64 Sewage System Se p"t+C Storie
I Const. L— Dimensions 6 G )c_ )-if' Q .( . Total Sq. Ft. /7`7'(p Valuation i
(Frame,concrete,brick,etc.)
Rooms 5' Baths ' v' Basement Foundation Const. Chimney Fireplace
< (Full, part, none) (Kind) (Number)
Heat. Syst : Type of Roofing Ext. Finish A�oi , 4. ._, Int. Wall Finish
Use of B dg.t e No. of Units Bedrooms 3
'arage or -,arport Atta/d Private Detatched
4,
' ' PLOT PLAN —� • ,--,2_,,,,,,,_,,..7----
Draw
Draw sketch with dimensions showing: (1) property lines; (2) street or road c ions; (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 State License No.
Ind. Ins. Acct. No.
REQUIRED
V/ Plumbing Permit a /,
m Heating Permit
11 H N Sewage Permit ,
-4 -4
Plans Received '
NIIIIII _ '
Plans Checked �
Plans Returned
'a
Plans Picked • Ink
Plans Mailed _
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
kas shown. /~ / I , 1913
_ ezb_tycx.4.44 G. MA.
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 A //'
i
Your street address will be I a ., ,S ,/ le zone is //,L Aft
•`
Sewage Permit Number Issued Building Permit /7) ' Receipt /sued C
Remarks (�t` i_7'-s le_el-1,, mia_r.
0 i - k,,
Cc-;,k)
Form 523 Bldg. Code
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