1973, 04-16 Permit App: K1224 Residence .„ ,,,„ r '
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT _
GENNEAL REQUIREMENTS PERMIT FEE �J ---
"Ply REQUIRED. A land use or structure permit le required b9 County Resolution to erect a building or structure of m47
kind or alter any building or structure already erected, or to change a land use. Construction must ed0fOrm With the
Spokane County Building Code and Zoning Ordinance_ Construction is subject to 1nspeetion,
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 Kngineer.
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moped on a County or State
Highway, clearance must be Obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Acce ory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Buil.ers should check provisions of covenants or dedications and easements running with the land
which are enforceable thro ;h civil action. County Officials can not bring action to enforce covenants or dedications.
/ APPLICANT FILL IN BELOW THIS LINE
Name of Own• _'' _'.. 4�� . 4 . AAP" address /,E / 3t Phone --.3 4_ 7
Architect _ Phone Engineer Phone
Contractor Address Phone
Legal D cription of Prop (Give comp etc description from deed, to xi 00.-t, o.) _ YZ r 3 — Re/sr
DESCRIPTION OF WORK:New 6-Addition Remodel Moving Eidg f one-_— I Fire Zone
Size of of f /3 _ ,
{J Sewage Syste , Stori .,
CO _ r-: _ e a - - .t / nV
((Fr 7 o,concrete,brick,etc.) y "`tel Sq. Ft._ �_ valuation .)
Tto ms Baths _ ' Baseme Foundation Const. ih, _ r . Chimney !' Fireplace
WWI, par none) (Kind)
Heat. System. ' �r Type of Roofing xt. Fin ".. ., ' .;�_- g�Finish (Nttmbar
Use of Bldg. �a ii i s / No. of Units ' Bedro s _,.._,V___
Garage or Carp• ' (ached -i ',,-., ,, , eat . _r _i c 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 State License No.
��—ca/— /.SEa 4C /7`;
Ind. Ins. Acct. No.
REQUIREDil (2. tj i4L647- � �
Plumbing Permit a ti-c_44
m
m Heating Per �. 4 �_ -_�
�^ y, SewagePermit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cert"fy inforeatie submitt-d is cor ect and there are no other structures located on this property except
as shown. /
A__ / .. -.- -., di
Owner or Agent late
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
rkb THIS IS NOT A PERMIT.
- DO NOT WRITE BELOW THIS LINE
_
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Your street address will be �
_ ge zone is
Sewage PermitNumber � , �� IssuedBuilding Permit / ceipt ss341
ued
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Remarks � E^^I`-
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Form 523 Bldg. Code
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