1974, 04-10 Permit App: K4634 Residencei
.44
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. 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 47235.
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 BUILDING&. Accessory buildings (garages, sheds, etc.) require a separate permit. ''
RESTRICTIVE forceable. Builders should check provisions of covenants or dedications and easements running with the land
whlciy^aze enforceable through civil action. County Officials can not bring action to enforce covenants or tledlcatVns.
APPLICANT FILL IN BELOW THIS LINE
Nam! of Owner S. SYII P. 4•1 - r ▪ CAddress A 0./3ay /V/P/ Phone 926'%9S
Architect^^'',, Phone Engineer / Phone y'.1 Y - o9/4
contractor /° a2 E.1/,ra 1042/S�S� Address . t >Q• Phone
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to description f.., receipt, etc.)
L/ a /7Yrzed .f -sr rre S 3 i( S Oh_-
DESCRIPTION OF WORK New Addition Remodel __ Moving Bldg. Zone / Fire Zone J3
Size of Lot // D X .Z00 ,IPP. 1 PCSAC/ <n K. Sewage System SEPT e Trwr Stories'SS{417r A
Const. 44.09MCC D' a4-4)4-4-61-7/4124. 4/ VX -9 Si fj'Xcla Total Sq Ft. .PS i7 Valuation 9'000
(Frame, concrete, brick, etc.) alb -tea& . / a.6 x /0
Rooms g Baths r_3_4___ BasementPl✓L'- Foundation Const. COM C PGTe Chimney &a Fireplace Z
(Full. part, none) (Kind) (Number)
Heat. System A4 SAC Type of Roofing COn, A. Ext. Finish 4C404.1 S/4.4.14 Int. Wall Finish &PP An
Use of Bldg. 1Fv4Pw r -
No. of Units Bedrooms 7
• Garage or Carport Attached 442--n6 Private Deb tched
CV ea', r.v-.s di /Se /3/75F.,' Avr C'O Y1/ dowser , .U///f E.t-e .77ON oS 4/%/[/7-7. _.0,14cz-,9
PLOT PLAN ...«e_.�A_-c,
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
em and water supply lines.
4
NORTH
pPi
oPir/
SOUTH
State License Ne.
.2.23-o///6 P/
Ind. Ins. Acct. No.
a 62.23
REQUIREDs
Plumbing Permit [IC 77" ..
Heating Permit /' e.r c (101 %// .
• Sewage Permit k,4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby cert' informs n submitted is correct and there are no other structures located on this property except
as shown.
s-77
Owner or Agent Date
A LAMD USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
TN NOT APERMIT.
Your street address wi e
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Sewage Permit Number - afar
Remarks e -_ IF
i 44
DO NOT WRITE BELOW THIS LINE
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