1975, 04-08 Permit App: K7169 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT it
'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 mast 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 oy 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 s4.�r4`B,-,�tyLc 91
Name of Owner IOENI E /TOM c & Address /7002 / E Phone ' 2'l y 97
Architect Address Phone
Engineer t Address Phone
Contractor FRANK /1/114 At38 w Address
Legal Description of Property (Give complett description from deed, ax receipt, etc 1
LUT ro , LO i< 2 1copi- A /6--f-4A(D,7704-•
/7'J % E I/I/F? c Phone 1 y`lo y97
,tom 3,3 5:5/2
DESCRIPTION OF WORK: New I Addition Remodel
Size of Lot 926,6' X / 4/. (9'
Stories _Dimensions �/ /a
Rooms Lt Baths / Basement /ItL_.. Foundation Const. I''Onele£ iil
(Full, part, none
Heat. System E)3E, Type of Roofing to
(iiS!DCA/CG
Moving Bldg. Zone / Fire Zone 3
Sewage System Se -Pi 2 d Const. /elm
/ (Fr., Conc., Br., etc.)
X o74 Q.4A�c" l] X o�Q Total Sq. Ft. /93—ho Valuation - ��
ChimneyNO/UrFireplace
(Kind) ��++ (Number
Int. Wall Finish6Ye 80`9k.1.7
Use of Bldg.
P Ext. Finish �7/Q�
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
PLOT PLAN
No. of Units _ Bedrooms
9
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
/ I/ v
✓✓✓0ARAGL
97(
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OEN6CPce
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I hereby certi
as shown.
formation submitted
ner or Agent
is correct
State License No.
3- 0/ ///023—
Ind. Ins. Acct. No.
REQUIRED ,,
/v(.(�c ,e)eg &
Plumbing Permit
n� Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and th ,re no other structures located on this property except
6ta
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
t. '1tiI rte: ik)
Your street address will be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
The zone is
Issued_ Building Permit
Receipt 7 Issued
Form 523 Bldg. Code
f
,
NW"- 10_
41:4k:
ot,R ly7
7 V
-ActoP. LINE
Basic: 976
976
FHA Case#:
Sq.Ft:
Job #:
Legal: Lot 6, Block 3, Aloha First Addition
Address:
Mortgage Co: Bancshares
Power Co:Inland
WW1°
Water Co:
Plumber: MuellelExcava tor : Elle4'
Rosa
SPECIAL INSTRUCTIONS: