1974, 06-04 Permit App: K4809 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT .23
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
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
whic are enforce ble through civil action. County Officials can not bring action to enforce covenants or dedications.
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APPLICANT FILL IN BELOW THIS LINE
Name of ner_rte/" ,---v �` ' Address ( / /_.�•+ 7 Q- d ifPhone 9 S-- 9'25-1
Architect f Address -- Phone
Engineer Address _.. Phone
Contractor C-s-3.-_. Address S`="+--Q____ Phone�S C� C"}- --
/3 1 Description of Pr y (Gi e com Ito escription from deed, tax receipt, etc.) .2-1S
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DESCRIPTION OF WORK: New Addition Remodel — Moving— Bldg. Zone / Fire Zoe
Size of Lot I x 4 3 Sewage System'T — Const
'/ (Fr., Co c., Br , etc.)S J `�L
Stories / Dimensio ""''��/ '� `1 -' 4(''' /71 Total Sq. Ft. /0 S' Valuation 2_J d d
Rooms 5 Baths Basement Foundation Const. a s� t'0 -- Chimney Fireplace
Full, part, non I (Kind) �f
(Nu n
Heat. System Type of oofing Ext. Finish -' ( ( Int. Wall Finist -��tJ�-
Use Idg No. of Units_Bedrooms i
PLOT PLAN 4 '° .I.--.-Draw sketch with dime ions showing: (1) property lines; (2) street or road 1�6ca ions; (3) location of existing and
proposed buildings; (4) distance to property lines arid streets; (5) dimensions of buildings; (6) location of sewage sys-
tem
s-
tem and water supply lines.
NORTHa Li ense N..
6 .Q 7 Ak_,a A iLe.-
IN'
P\ -..74:41..
IIIIF
4 O ' Nom'
_ r / a o /�` REQUIRED
`r ) <
Plumbing Permit
Gid �� ���/// Heating Permit
m f_, N Sewage Permit I
-1 —i
Plans Received �
Plans Checked
T-
Plans Plans Returned
Picked Up
D y Plans Mailed
11 - 7 4 SOUTH
I hereby c fy information submitted is correct and there are no other structures located on wisproperty except
�S shown. at — t 47
it>
Ow er or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON E PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
® i/.. .,, 41 DO N•T WRITE BELOW THIS LINE MP. ,........_...1.4. _ -# r
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Your street address will be �� urr7 // 5.- (O D 7 '-��The zone is ' "Il l
Sewage Permit Number Issued _
Remarks Building Permit .( I Receipt /issuedssued( 1 /r
Form 523 Bldg. Code