1972, 11-22 Permit App: K139 Residence 1
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
0C9
1 APPLICATION FOR LAND USE OR STRUCTURE PERMI ''i%
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.
gWATER. 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 9 .-. -Z o 77
Name of Owne 7.� ..l a% ___ ��-• address , <-3 one f 4i C---,CS----
Architect
---,CS!Architect Phone / Engineer Phone
Contractor Address Phone
L a ;Des ipt f,Property 've complete description from deed, tax receipt,etc.) ���C �-
T
DESCRIPTION OF WORK:New X Addition Remodel Moving Bldg/one / Fire Zone
Size of Lot e-.5-_ X � Sewage Syste.• .,tom. Stories c7_
Dimensions Total Sq.Ft. Zuaivation ,--�-+ p C'U
/
(Frame Jo'�trete,bri k,etc.)
Rooms QQB.the :: ement Foundation Const. —C _Chimney Fi place
(Full, part, none) (Kind) (Number)
Heat. Syste -,rr,-- Type of Roofing = Ext. Finish/4 / e) Int. Wall Finish
Use of Bldg. / i Q' _ ?�� No. of Units Bedrooms
Garage or Carport Attached Private Detatched
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.
NORTH State Licens No.
Ind. Ins. Acct. No.
OI`)� 'k 011P( '
/
REQUIRED
Plumbing Permi„fieGC--- ---,-----
'
mY. Heating Permi(�Ti_
cmut Sewage Permit e
41
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I he el ce,, fy information s r tt•i cor ect and there are no other structures located on this property except
as shown. / /
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST ; ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
as, 71044,4 DO NOT WRITE BELOW9THIS LINE
.._6e7Ar
gYour street address will be J a 0 . - / . The zone /
Sewage Permit Number Issued Building Permit / Receipt Y/jf issue
Remarks
i'
Form 523 aldg. Code
—— —
ELEVATIONS:
1....1,,k) NrN OF ST oLLET .....................,
,FINISH FLOOR
.1/
-ki+--'7------7.7-7 --- -/:,,6'.,...,- ,-,,- „,,::::,,-,-7:;17,/,-..:
tc,fi(,,,-)0 - i ,77.•5V1 i
i--•*- 4f.0 A', ',. 1 ;'''I 1 '
,,, -%:., •• , I ,c.,•I ,,',-'1 '-
-,,,,,Q1, •,.,1, .1\ 0,,,,,‘,,,,,,\ ,, 1 ,,,,.. •NP•A i i,
.n. • i 1 (,,,,I
14
,:"--- i •,-,,,, r-,, ',';<lc) ' I I ;
,•„,9 f.,,,,i --4 ,. .,, 1- , , ,
.---- ,,,,,,, • i '
\
---5' k" •,(.. qj ( L'\r:,:—.."--- ,\‘' , ,, , \ -, , ,, .. , - -, \ ,. .
k-N. ••• .,,, ..,,,,,,4,,-/.f,,::, \I \.1.. '. --:,‘::',:):,',''' \w'\\\‘‘. ,/e., ;' 4:,::''. ',',-\ ', '',i ,'1, , ,- , - •• i i‘ I ,
_-___ \0 \-, . .\:: ‘‘.. .'- , ' ,,,
\-,.-\\s,-\--\\ \ '''' , ',' '- '\ ‘, ,
\ -1
'4Is.,
', '
A4,\ ..\\;_,,,\.„\i, ,, , N..\ \,,, ,. , . , , , \k 1
c/.4496.00 :1::
I iel-i 4.7*0 4 ,,,i
. 67 3'0
' ' ''' - . ' k'l ', i !
t
‘
' A
• ' I
( ,,
'
,,.. ,;. o.,
f.C-`,'-q
..•Z' '
, • ::,•:',, -'---C1-•-'--,...., N. T) ' t) t __..-•,--S 1
I ''' ''..Z.^,, .. ...'•''• ,, 1\ 14; ' IS:(?;ak8',V '';1 4, ...----*'-''''a- I
SPECIAL INSTRUCTIONS: PRA/4ER PAINTER ' SIDING TYPE
P...":./.,--'"2 //;/:" vi,5:::,,,' ,_"-:';',.::, .— .---
PLUMBER TILE - LINO - CARPET
WATER CO. ELECTRICIAN ' Excay.&Septic
ELECTRICAL AREA HEATING CO. APPLIANCE COLOR
DRYWALL CO. CABINET&COLOR ROOFER
MORTGAGE COMPANY SUPERINTENDENT Bo st, I. Tentative Start Actual Start Scheduled Date
Date Date Of Completion
•
1F.H.A. CASE NO. JOB NUMBER CURBING
ADDRESS: FLAN NO. LEGAL DESCRIPTION
-
.1%`'.4 i 2-)71.0.,',.11)11a •Terf JO Oft %CIA 91'11,
•
..---3 —._ ---..* \... WitiOZ
4 r
NIS 109 ‘701) ,. i 43 a ri I lamlaIat xi 99 9 91, i
_ __ ___ .____ _
insiA 'so IgnitiO ,n*oft a ax '