1974, 12-10 Permit App: K6509 Residence•
County of Spokane, Washington
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BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 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
wp}ch are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
74,1-J 6
Name of Owner - - '
Architect - 4--L.' 1 S-.2-`-- Address Phone
Engineer � 1 Address ��� Phone
Contractor /jt� Gas• Address -f�"` /�Phone
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perty (Give comp description from deed, tax receipt, etc) 7- G1 4 3
Address o , _ / Phone 9..2- — / 6 2
gal Description of
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot Aro jL I VI)
Stories / Dimensions ) ;k6.9 ' a'
Rooms Baths Full, part nonejl Foundation Const
Heat. System /2Type of Roofing
Moving
Sewage System
Bldg
Zone / Fire Zone 3
Const.
Fr., Conc. Br., etc.)
Total Sq Ft / q3 g' Valuation
Use of Bldg.
�1•
Q
Chimney
Ext. Finish
PLOT PLAN
U
Fireplace
(Kind) (Numb
Int. Wall Finish
No. of Units _ Bedrooms 3
(3) location of existing and
(6) location of sewage sys-
Draw sketch with dimensions showing: (1) property lines; (2) street or road loca ions;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
m
co
NORTH
(IESIDENTIA COMMERCIAL
m
1
late ic- se No.
In . I s. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed -
1
SOUTH
Or tion submitted_ is porrect and there are no other structures located on this property except
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Owner or Agent
X LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
clAt , 14,1 0 DO NOT WRITE BELOW THIS LINE
�o streets2 ( r2 -2J
�nahni if be / / 0 � 7 a 6 The zone
Sewage Permi ber Issued y Building Permit GS�f Recei t Issued _ ?
Remarks (s �(x sem• �4/ ef-4-‘ --ov �i t'� --2 may, -a-
A I 1 c .--",,_-"b i it A a fdinacti elL l /.fw : _ kiJ��co.,.u. it- /4 1 / 9 7 4- /
Date
Form 523 Bldg. Code
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