1974, 12-19 Permit App: K6508 Residence• •
County of Spokane, 'Washington
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 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.
,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.
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APPLICANT FILL IN BELOW THIS LINE
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Name of Owner �_v l�(,GV ,. - - . Address
Architect [ ,J-� (ii - �. ' Address Phone
Engineer Address Phone /�
Contractor li/ /4..1 Address 41---A" , 'J Z l G Phone 7 — (9 2
Legal scription of Property (Give complete description from deed, tax r, etc I e /../q cia .... 0 3 C./ -6
eceipt
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DESCRIPTION OF WORK: New Addition Remodel
Size of Lot /07) X
Stories / �y Dimensions 5 - ? r
Rooms _ Baths Basement
Full, part, none)
(,1 Type of Roofing
Heat. System
Use of Bldg.
Moving Bldg. Zone 4— Fire Zone 3
Sewage System Const
(Fr., Conc., Br., etc.)
/��JValuation .56_, -`5 o
Foundation Const V-c�f-e� Chimney
(Kind) Fireplace
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C'G�'r� t. Finish Aat'7 Int. Wall Finish 4.��1„�-4�-
No. of Units _ Bedrooms 3
PLOT PLAN
Total Sq Ft
Draw sketch with diensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
property lines; (2) street or road%locatio; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
RESIDENTIAL - COMMERCIAL
0)-eof Pe -Y-
s sh
1 he eft' y inf
Ind. i s. ct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
submitted is correct and there are no other structures located on this property except
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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.
(9, i'VI.Lt.�, ? DO NOT WRITE BELOW THIS LINE
Yobi i' I l.� t 1
Sews Permit N ber Issued yy�
Remarks G �t/� ^ ,. �, - /.-�(.r U_-1.Ca
V The zone is
Building Permit f7 V0. Receipt
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Issued 4,
Form 523 Bldg. Code
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