1973, 04-25 Permit App: K1460 Residence C
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f`1., 1,-a� County of Spokane, Washington
6 BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 ,,e0
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT ,,-----
GENERAL REQUIREMENTS PERMIT FEE
PERM 6' 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 t!@
Spolane County Building Code and Zoning Ordinance. Construction is subject to inspection.
I
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.
ElfA SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SETRACK 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 car. not bring action to enforce covenants or dedications.
APPLICANT FILL IH BELOW THIS LINE 24,4_i `e
Name of Owner 6dst/J cR1 ' r�,vyvr, 9�_FL,-Address ),..3. e2. , :F�s"13.y Phone g, 5.4',1V-?._?
Architect Phone Engineer Phone
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) ,date o
14-)' 30' e‘ L c 7 /I, 4 c e, c( , 7 J 6 L,' z ,kr,,,ra.,,r, "7-bee}"'lei, 7e7
DESCRIPTION OF WORK:New Addition Remodel Moving Bldg.Zone Fire Zone
Size of Lot �- /�S Sewage System �'� Sies J �
Const. FeAsIN Dimensions 72 ''Sq6 t ;,1.2x, 9 g-r> i'ilt Total Sq. Ft. /S,'7-37)6 6'c/ Valua it on C
(Frame,concrete,brick etc.) r67ri
Rooms ,6 Baths J Basementrul Basement, II Foundation Const. C--04)(,-1--"7-r- Chimney /f4 Fireplace
(Full, part, none) (Kind) (Number)
Heat. Syste b 1d lz*67TCType of Roofing Mviws 2"7 e- t.Finish - 1/ Int.Wall Finish _ f'"d-.7`e-
Use of Bldg. - 72.-it.) 7 '`v i./Or,-t:- 2 / No. of Units Bedrooms �5,
Garage or- lllpart Attached Y'`% 5 'Private Detatched
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1/1! PLOT PLAN , ,....„4.....11.4,71 </ , /9j� -L�'.
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.
State License No.
NORTH
Ind. Ins. Acct. No.
A
d REQUIRED
Plumbing Permit
rre '-'-'-*----L . r) D Heating Permit
��` Sewage Permit
-i / y e) -4
4)
/ Plans Received
Plans Checked
Plans Returned
'\ Plans Picked Up
VJ
�1 Plans Mailed
SOUTH
I hereb e rt''y '. .rma ion submitted is correct and there are .0 other structures located on this property except
as shown. it AV
/., I "�5'
Owner or Agent Date
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 pp 64
Your street address will be /7r4 n 6, e., � The zone is(
Sewage Permit Number Issued Building Permit „./ Receipt-
' �'r� Issued
7�/4/65/
Remarks ,/ .o t-[ ,. it J �/ �. ,14
ik
i
form 523 SIdo. Code
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E. 12121 MANSFIELD
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SPOKANE, WASHINGTON 99206
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