1973, 04-16 Permit App: K1218 ResidenceT
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMITo'v
GENERAL REQUIREMENTS PERMIT FEE_.__ /-�
IT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
Sind or alter any building or structure already erected, or to change a land use. Construction must conform with the
pokane 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, f 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 ingr ss
and egress.
COUNROADS. Work on street right-of-way may not be performed until staked by County Road Deptirtmept and work must be
Derfa med in accordance with stakes. Pointe of ingress and egrepp Thant Do approved by the County Engineer.
MOVIN OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or state
Highwa clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (gar&gas, 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.
f fr"7-5f•APPLICANTZ //�_ FILL IN BELOW THIS LINE
Name of Owner l 6Address /2t3 Pllonef L — g
Architect Phone Engineer Phone
Contractor r i— iLa Address
-- - Phn
Ie el Deseriptolo1 property MVO complete doription from deed, tax receipt: etc:) ���� � d
DESCRIPTION OF WORK:New Addition Remodel Moving Bldg.Zone ( Fire Zone
Size of Lot -6 ‘ •),-- /3 GSewage System S` Stories -
Const. r�� ' 1`Dimensions 1 i G 7 '71-f 6-6/J."3-7 Total Sq. Ft. Valuatio
(Frame,concrete,brick,etc.) / J �� 1119. 7..�j
Rooms ( Baths a. Baser en v 1 / Foundation Const. �d •,2C:7--:7-- 7-�e J - Chimney,J`/c rc. Fireplace 2.
(Full, part, none) I es/(Kind) /�� (Number)
Heat. System = �- Type of Roofing( ii----it Finish o�.r Int.Wall Finish
Use of Bldg. ii . ./. . ,— _, , .4111,W- No. of Units Bedrooms
'�Gaarrage or Carport Attached �y/ Private Detatched N
�' PLOT PLAN j��"� //i-e.'"% -
Draw sketch with dimensions showing: (1) property lines; (2) street or road loca .ns; ( o at o o
proposed buildings; (4) distance to property lines acd streets; (5) dimensions of buildings; (6) location f sewage sys-
tem and water supply lines.
NORTH9v � State License No,
tInd. Ins. Acct. No.
r--..70;0.'
2
2r N
0' • Z ' )�1 REQUIRED
N S`0 j3 0 Plumbing Permit
in Heating Permit
In a
tel H Sewage Permit
-q -4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up._
Plans Mailed
SOUTH
I hereby car 'nformatio, submitted is correct and there are no other structures located on this property except
as show
/�.� ���"- —A- Z3
ner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
-744(2.,p g) DO NOT WRITE BELOW THIS LINE
Your street address will be / / / ,: 0 c7 — f, __The zone is
Sewage Permit Number Issued Building Permit /A-iv-Receipt a/a'
Remarks
22,,-,,i4,,____eh____ii, .
�+ Form 523 Bldg. Code
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