1973, 01-11 Permit App: K365 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
A
APPLICATION FOR LAND USE OR STRUCTURE PERMIT oo
GENERAL REQUIREMENTS PERMIT FEE °Y'D
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
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
il
Name of Owner fekr) oil 0 &h`,C ct- e�OJ7 ddressG/O 9 ,�/ .2_70- Phone �� .5-.2v
Architect 1 t�h...i - Phon a. q4 01 gineer /r;C IQS.• O .....5;1,7, So Pone AJel j,--/ ZZ
/G
Contractor 4 Cl A , , i h e- Address /3 a S S k tAp`� "-t �ct.(o 7 2 7
Legal Des ription 'of Property (Gi*e c m9.lete escript'on fro ee , tax receipt etc.) , , t } --35-4)‘'
407 j344- /'7 j /Oc� .95 /f' iv 7O4-0h S c
DESCRIPTION OF WORK:New_ s Addition Remodel Moving mac.Zo . Fire Zone 3'
Size of Lot / )P ' se /3 d / o f Sewage System .5- r 'c-- Are to s I _ ..
Const. Dimensions t/ 1 Total Sq. t. .--- Valuation+!. .2 .S-6 6 0
(Frame,c ncrete,brick,etc.) /
Rooms Baths -2,- Basement Pte[/Foundation Const. 'O 4') eh"e-
(Full, part, none) Chimn y ,er�0�'/ 'fireplace
(Kind) (Number
Heat. SystemeS /4/r� Type of RoofingColrn �7 )/
` / /Q • Ext. Finis#�C�/7 +-�i t�Vall Finish ✓/�(�cu �C.�G/
Use of Bldg. .J J A C�% -, ..-611,// Jif- No.of Units Bedrooms a
Garage or Carport Attached ,/ gqi.4.- C& Private Detatched
lD- 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 State License No.
,Pa3 e)/ /2' 3512—
Ind.
/2Ind. Ins. Acct. No.
,3-7,5--- 7ct
111 REQUIRED
I4' Plumbing Permit 674' C' X c-1
�' " " in Heating Permit �:`� -y
no
IP ' 4
� e e �, Sewage Permit � • SE'. •'�;' g4
Plans Received
i
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby ce tify is ormation submi ed is c ect and there are no other structures located on this property except
as shown. / `, e/ // 7 3
, /
I ner or Agen Dai
��
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
_� {Y
Your street address will be /O 9 t-S e.. 7- C(. ./4 _ The zone is ttC.+CG t.t f,C sJ
-Y:,L/ _.C4,-l,,-
Sewage Permit Number Issued Building Permit ,Receipt 6,/ Issued
Remarks / S
j
Farm 523 Bldg. Code
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