1975, 01-06 Permit App: K6577 Residencei
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERM
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required bycounty 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 eater 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 1n 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 229-06 p�
Name of Owner - - / einTd Addross t2 IIL 5 c p�/ 4 Phone / < ,r— Ct % 3-W
Architect / Address Phone
C n Tact " " ' Address Phone
Contractor Address Phone
Legal 4: seri tion of Property _. complete description from deed. tax receip
DESCRIPTION K: h New Addition Remodel Moving Bldg 2 n Fire Zone
Size of Lot Sewage Syste st.
//� / '(Conc. r. etc
itigges/ Poime sions (fl 2 Total Sq chimney
Valuation o
ryns Bathe/(Full part novel Fo tion onst �+� / Chimney / Firgplec 'Number
����,a, (Kind) V
Heat. Sy tem q,�pJ7 gType of Roofing Ext. Finish ?>. Int Wall Finish
Use of Bldg. ✓/ te-_/ No of Units _ Bedroo
(/l LOT PLAN
Draw sketch with dimensions showing: (I) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions oI build gs; (6) location of sewage Sys
tem �andwatersupply lines.
/
1
//f
6
I hereb cer
as shown.
NORTH
4
3
y
e
SOUTH
y info on subi
iir
Arididkrig. Ar
State License .
Ind. . Acct. No.
RE
Plumbing Permtlei
m Heating Permit 0
IASewage Permit
et
Plans Received
/ Plans Checked
CV Plans Returned
/ 2- Plans Picked Up
Plans Mailed
7
correct and there are no other structures located on this property except
Ow.r or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BLON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
(,-4,I ell- DO NOT WRITE BELOW THIS LINE
q
Your street address will be �jy.2 S Li tv,I % / The zone /
Sewage Permit
/� Number Issued ���{i� Building Permit ,a We yy/p/ft�Issu
Remarks V.4t 'irs. PQftO01n Ree : Qr ..g nm`^i `� /l+/7i- •Uary+.. n i
U I '/
Form 523 Sidg. Code
Chapco Certified Construction
10811 E. 2611,
Spokane, Wash. 99206
PLOT PLAN
`114 z(c 445-72
LEGAL DESCRIPTION:, Lot 11, Blook 1, Myron Estates No. 1
1
This house is split entry at the' front and full daylight`
at the'rear. It has !} bedrooms, 2 bathrooms, attached
double garage.