1973, 05-09 Permit App: K1589 Residence0 •
unty of Spokane,, Washington
APPROVED As NOTED
Spoke r� C un'y LAPAI WE DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99401
,� /d PPLIC ON FOR LAND USE OR STRUCTURE PERMITS
'
Date_
REQUIRE E N T S PERMIT FEE . -__� �(_______________
by eture permit is required by County Resolution to erect a building or structure of any
nd 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 Olne / J
OA) Y 7 -et
Architect OGCk F}4m 4Pu1sT gloneWfli
Contractor Q
Legal Description of Property (Givecomplete d,
Phone(, -I
Phone
DESCRIPTIO!V OF WORK: New Addition Remodel Moving ,_ Bldg one _�— Fire Zone
Size of Lot /00 X 180 Sewage System St'9As �—
Const. Fie A MC_ Dimensions 21 % (i % k' `L Total Sq. Ft.
(Frame, c ncrete, bri etc.) /
Rooms Baths � Basement PC41. k Foundation Const. Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. Syste, A S Type of Roofing O Ext. Finish i�& ie toxo Int. Wall Finish L L
Use of Bldg. PeS iCleail,A L No. of Units Bedrooms
Garage or Carport Attached Private Ue atc ed
�� AN s�
Diaw sketch with dimens' ns showing: (1) property lines; (2) street or road locationsP,(6)
location of�xisting and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of building location of sewage sys-
tem and water supply lines.
i
► O t� �e�T
SOUTH
State License No.
Ind. Ins. Acct. No.
(� REQUIRE
P >
Plumbing Permit '
M Heating Permit
4 Sewage Permit r
(� Plans Received
Plans Checked
Plans Returned
Plans Picked Up—
Plans
p_Plans Mailed
a I erreebby� errtif rm�i�i� submitted is co r ct and there are no other structures located on this property except
ass w (\ \`�,
u
Owner or AgentV Date
A LAND USE OR STRUCTURE PE MIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
- J
Your street address will be r c �';1 The zone is
Sewage Permit Number Issued Building Permitq / Receipt 8� Issued
Remarks �^� 0-X� ��%iii0� ' ` I
Form 523 Bldg. Code