1974, 12-09 Permit App: K6459 Residence 1
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 ;ii '�
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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. 1[+_
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 iquired, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required
STATE HIGHWAY Where the structure abuts a State Highway, clearance must be obtained pertaining to set-back d 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 LINEty --vim C�'�>
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Name of Owner PFAIlWl�i!l��IIw 1� 1" . .
"sAddress 1 �'
.I! , - Phone B,1 1.1 -5 -4 7`L~�,,i
Architect Address Phone
EngineerAddress _ Phone
Contractor).�'L'.A'_ Address C2, afr Phone �1
Legal Description of Property (Give complete description from deed, tax receipt, etc.) AAA.,/-C!k ...Igs1-"`f� - 07//'
WI 4,5- . . i 4 ,5%U ,i./Jr 7 ax.tt-i 3`f KeKort re kt'/✓3J re
DESCRIPTION OF WORK: New )( Addition Remodel Moving - Bid . Zone .--.i._ Firq.one 3
i
Size of Lot g<-5- Sewaggel System. -' oust.`J-' -3 12--
s / / (irvbd"i n/,psis McMT/ '(Fr., Conc., Br., etc.) e L'
Stories/ Dimensions -Zee Y -( 2I x' .'3 Total Sq. Ft. '9'5- Valuation -3'`�j®60�
Rooms Baths Z Basement Foundation Const. ed-i -4 _--_Chimne y Fireplace 4-
(Full, part, none , • (Kind) (Number
Heat. System ( ff T pe of Roofing 7 V Ext. Finish ? .i _ � r Int. Wall Finish 4t11
E,
Use of Bldg. .fC�E ", L,. iL.d'Lii.L Gtr t , .,i-alt.t -tt1 i ...r No. of Units Bedrooms 3
PLOT PLAN b 4) o : . 4 ,pczi t
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.
T NORTH State License No.
Ind. Ins. Acct. No.
ait
4E' OK - csAI F 1 z.. --
(vh,,,..e. REQUIRED
6-„,..
Plumbing Permit
O)/✓A
7 op 1 ,t-/ ,� - n+ Heating Permit
m .�L -c. a
v+ Sewag a Permit
N
-. T4( /2L€ _
(�/ "? —
6/2 3 Plans Received
Plans Checked
I -
/`l 2. 6 _ 2 d f 1 Plans Returned
( / Plans Picked Up
Plans Mailed
SOI TH
I here y c:rtif/'nfo :tion subm'ttte�s: correct and there are no other structures located on this property except
as shown.
e- ,/-1--/- 71i )
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMtENCES.
THIS IS NOT A PERMIT.
0442 .711,j0 DO NOT WRITE BELOW THIS LINE
Your street address will be C ///.26 aZ . C(' - The zone is1ktzLC, [d4x" �(1.,
Sewage Permit Number Issued Building Permit ' "if,, Receipt 6 'i g Issued
Remarks _ ! _ _. 1 _ _
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Form 523 Bldg. Code
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