1973, 04-25 Permit App: K1461 Residence • County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT , ' 20
GENERAL REQUIREMENTS PERMIT FEE 4'
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
_Sreokane 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
tie 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 car. not bring action to enforce covenants or dedications.
APPLICANT FILL UI BELOW THIS LINE isi 6.44, ,
Name of Ownerr&'/ 3 L /ti.!(NHR1'c-4L, '---Address /3.P.,-":43 .� , , S-1".7` Phone
Architect_ Phone Engineer Phone
Contractor 31•94/A Address )� �,� Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) �e/L4-'s-'L 2g.5/4",___L__' _____-'134:1
(V•JP r.J�j Lc:7 2, 6 1-4- [i i.7 ,T /I cwt) rr,7'' I-. y '7/ '.-t-)C ' -V.3
DESCRIPTION OF WORK:New -71,... Addition Remodel Moving Bldg.Zone Fire Zone 3
Size of Lot K /2.3— Sewage System ri�Q.7.-. - Stories 1
Const. !^ diii Dimensions
rL 70 OA:20 1 ,f?OL. /l Total Sq. Ft. 44/ge Valuation ,;:?..2i--5'cxS)
(Frame,concrete,brick,etc.) �_
Rooms Baths Basement Fc''-s- Foundation Const. 6.0 �� ' imney 1#7'4 c' Fireplace
(Full, part, none) (Kind) (Number)
Heat. Syste66 y a'')`17d4 Type of Roofing 4-1/3"3 $94-17 Ext. Finish / //7 Int. Wall Finish D47"4
Use of Bldg. " IC rj,ore e v;,...,-1 y No. of Units_ Bedrooms 3
Garage or Carport Attached Yti _ Private Detatched
4 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.
State License No.
NORTH
Ind. Ins. Acct. No.
IP
/ / i / i 1 , I 6( REQUIRED
` Plumbing Permit
s M
ns Heating Permit
In Sewage Permit
.I 10
Plans Received
4 Plans Checked
\ Plans Returned
7 Plans Picked Up
Plans Mailed
SOUTH
I hereby fy Afo -.tirn submitted is correct And there are no other structures located on this property except
as shown. ,- ,d'-a,,),47/7
Owner or Ag- ,t 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
40 i
Your street address will be ) :) 'r '1../ The zone is . A'` a'
Sewage Permit Number Issued
Building Permit Receipt .)-) s Issued
Remarks ' •
_�; ' ' 4! AV R"
le6:)(‘C')
Form 523 Bldg. Code
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JOSEPH L. DICKINSON
PROFESSIONAL LAND SURVEYOR
0P. 10 r' 0 e
3,1 E. 12121 MANSFIELD
`eisTE..co- .14
SPOKANE, WASHINGTON 99206