1974, 05-23 Permit App: K4691 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
a
APPLICATION FOR LAND USE OR STRUCTURE PERMIT AO '''
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
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 ✓ it/A.' 14" /�r/Cde/� Address iC�'C''� C c-_,CG Phone `l-1 T -4 C7/
Architect v5X/,. 4S /11:?(.'L''C- Address ___ Phone
Engineer _ 7A, ' ui(,)-<,— &CiTt0e<-- Address ____ ��y Phone rl
Contractor - Address /�1C''C>� 4 _ Phon �'n '�—Z5
Legal Description of Property (Give complete descripti n from deed, tax receipt, etc.) .--......1--q, 4.v-OSii>/ ...
DESCRIPTION OFWORK: New I/_ Addition Remodel Moving — Bldg. Zone / Fire Zone
>
Size of Lot ' Er- / -D-- - 1 ei G' Sewage System .S r Const, rT a ---
(Fr., Conc., Br., etc.)
Stories / Dimensions g t 14,0.0..' Total Sq. Ft. .20/7�a Valuation 1/4/P3,5;6'ed
Rooms j_Baths - Basement rU I( Foundation Const. 0 o n C ✓--e T-.-----_Chimney&".t-/<- Fireplace 2
(Full, part, none) /� (Kind) (Number
Heat. System 6aS �/1- Type of Roofing G G m e Ext. Finishs5✓`TC/<kern•- III Int. Wall Finish D.,---Y k— A //
Use of Bldg. '?-e ,S..,` %n c ,P q 0.,�GL-q .p c_rrex C h-0 c/, No. of Units_Bedrooms -3
Al / ✓ PLOT PLAN
Lii:Cr
Draw sketch with dimensions showing: (1) property lines; (2) street or road loc), ions; ocation of existing an.
oposed buildings; (4) distance to property lines and streets; (5) dimensions .f- *"'is: ; (6) location of sewage sys-
tem and water supply lines. j , Nr
/ '' 't State License No. p
NORTH /8,. (- ix. ` e�?3- G %-1 063`/ y
A �. Ind. Ins. Acct. No. ff
c y
REQUIRED
Plumbing Permit
es.I"„,
Heating Permit
N
� �� Sewage Permit
.. Icn/ U
-4 79`.. ) CSG,Cr Plans Received
. _--.__a
.. ___—__...�.____._ -___ -�• Plans Checked
Plans Returned
�� Plans Picked Up
Plans Mailed
ir T4 SOUTH AFL',.>.j—
I hereby,rfl ti ' info ion ' ed is correct and there are no other structures located on this property except
as shown.
Va Owner or Agent Date
A LAN FUSE OR STRUCTURE PERMIT MOST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9.e-ti -MA /' DO NOT WRITE BELOW THIS LI E I 1�
Your street address will be C , /O31 • _ Cp (4.0_7(........4. ��/The zone is lip---1 C I TUB/
Sewage Permit Number Issued Building Permit '', ' jri,_. Receipt fo/.1�'�Issued
w, , ,r-
Remarks
Form 523 Bldg. Code