1973, 04-18 Permit App: K1279 Residence . _ . .___
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
C23)--
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 3 6
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.
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, 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.
ACCESSOBUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICT VE COVENANTS. Builders should check provisions of covenants or dedications and easements running with he land
which al enforceable through civil action. County Officials can not bring action to enforce covenants or dedic **ions.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner_fZi / . f a nr ress O:& zJ r '7 Phone Ali'
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Architect Phone Engineer Phone
Contractor Address Phone
Legal Description of P/rropeer y Give co e e description from d , tax r ceipt, )
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DESCRIPTION OF1WOORK:New �� (Addition Remodel Moving Bldg,_Zone Fire Zone
�
Size of Lot [/ X .J S 7 - ,r Sewage System C '' -/ }I'. Stories s.11/// .?7
Const. ' Dimensions s A Y . ' otal Sq.Ft. . ,a uation � /V /
(Frame,c ete,brick,etc.) ` _ ::..-
Rooms Baths Z' Basement Foun..tion r ons•• L G 1 L Ye/e Chimney 4//1/4.-"Fireplace 2�
(F 11, part, none) - .3 4_ e Ido-e-44., (Kind) (Number)
Heat. System i ieC%r- T of Roofing ��'!2 Ext. Finish Int. Wall Finish ��
Use of Bldg. ., No. of Units / Bedro ms .3
arage r Carport act‹.-.7e—c-) 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 License No.
I� Ina. Ins. Acct. No.
REQUIRED
Plumbing Permit
in Heating Permit AIWAINIF
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v+ 47' YA
H Sewage Permit
-I -4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
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SOUTH
I here ertify infor tion submitted "cor ect and there are no other structures located on this property
as shown.
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Owner 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
Your street address will be ,"i ?, ,// A./.C.
.0. fes-f- k'C- The zone i
SetNumber e Permit Issued_ c.BBu�iillding Permit /,/ Receipt Issued
Remark , -� 6--pt. ki - ) I\ / -> ( �
Form 523 Bldg. Code
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`� BUY A " FAMILY HOME ';
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DARRELL G. CONDRON, BUILDER
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SPOKANE, WASHINGTON 99208
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