1973, 06-27 Permit App: K2098 Residence aa. a.V as
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Q County of Spokane. Washington
76 7 6 BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS ,,� `1
PERMIT REQUIRED. A land use or structure PERMIT FEE
kind or alter any building or structure palready serected, ory touchangeResalland nuse.to erConstruction ect a nmust conform or rwith 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
Name of Owner ���.� '� ' �/.ddress , �,V/(1�—
Architect I Phone Engineer ��/ �� % Phone * ".c--92/
Phone
Contractor5 i . Addres cry 8/ f «moi y'y``Ia7 ,83/
�-- � ��� �� Phone �(�7�-
Legal DescriptLi/ono Property (Give com�to descr'ption rom deed, tax receipt, etc.)
DESCRIPTION OF WORK:New > Addition Remodel Moving3
Size of Lo a:3 / X / arc--iSewage
Bldg.Zone / Fire Zone
Sewage System. ,,.G[- / Stories C,-rZ..- t
Cons . Dimensions t3O x.Da a•a2 Sl v .2 y / x .26 Total Sq.Ft. /6 76 0 Valuation
(Fra ,concrete,brick,etc.) (( 0 27 �=G
Rooms 6 Baths_/____Basemen one) a oundation Const. J Chin�TregO22& /, Fireplace r .
(pill, (Kind)
Heat. System T (Number)
Type of Roofing G��Yjrr�h�. Ext. Finish /e Int. Wall Finish��eh� J�� �
Use of Bldg. 1.. �� .%r�.� / /��� _ room
No.of Units / Bedrooms l�
Garage or Caiport Atched 1� i �c ,ry,�..` / ((
/ Private DetatchedJ
PLOT PLAN
/ Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
4i.._
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.
67 op.73 -a-%/,2 ye)
iTI:\
Ino. Ins. Acct. No.
i
- , _ ly
t
REQUIRED
Plumbing Permit
^9 /#A. �+ Beating Per • -- _i� f ' i ,0 i y U' u, Sewage Permit
._.10
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
IPlans Mailed
SOUTH
ass I her by,p, tify informatil subm tted is correct and there are no other structures located on this
• property except
6-4'-'.---> -&9 ‘ Date 617.2'7/% 5
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
y THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
ur street address will be �j 1 , � J
.._ •e zone is f9' ��Cp�)
S wage Permit Number Issued Building Permit (/
Remarks ci,. ,c�,Q ptiL 44
��(� ceipt_ Issued
Form 523 Bldg. Code
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