1973, 06-07 Permit App: K1901 Residenceadd. cge? '.� r Parcel +27543-0803
OUR JOB # T$ 15
County of Spokane,- Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 7
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.
NATER. 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 OwnerACe uildPrs Ing-- Address Phone 92.8 14100
Architect Phone Engineer Phone
Contractor Ace Builders, Inc. Address South 810 Dishman Road. Phone 928 4J00
l.00al r)- rintinn of Prnnerty !Give rmmnlete dpccrintinn frnm deed. tax receipt. etc.)
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone _,/ Fire Zone
Size of Lot Sewage System X 4 Stories
Const. frame Dimensions Z 10 Z� Total Sq. Ft. aluation 22 t 500—
(Frame, concrete, brick, etc.)
Rooms _6—Baths —Basement Foundation Const. CQriCrPtA Chimney Fireplace 1
(Full, part, none) (Kind) (Number)
Heat. System elee -e —Type of RoofinPCmP Ext. Finish clad WOOd Int. Wall Finish dryyall
Use of Bldg. residential. No. of Units 1 Bedrooms _
22'ort 10x
Garage or Carport Attached CarpPrivate Detatched
/VS
PLOT PLAN ;)-
Draw sketch with dimensions showing: (1) property lines; (2) street or lotions; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of b ilVi gs; (6) location of sewage sys-
tem and water supply lines. 1/
NORTH ;2gih A v�Nu� ' ' State License No.
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W4c 41
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223 01 12612
Ind. Ins. Acct. No.
I Z. 289 325
(3
REQUIR
ED
/Plumbing Permit v J
�n Heating Permit
HSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I herebyc ify info matigp-sn�mitted is correct and there are no other structures located on this property except
as shown. `) / —Tloggl
Ow rPo' 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
street address will be� ' The zone is '
Sewage Permit Number Issuued Building Permit �j�j, 'Receipt '� Issued
Remarks—r d -r,/ /#� n
1
Form 523 Bldg. Code
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