1975, 01-24 Permit App: K6659 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 O0
/44'
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.
RATER. 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.
y� i Address APPLICANT FILL IN BELOW THIS LINE'7i/vAti,..nte w/`'i ,y 990-2c
•
Name of Owner ( LP.IP , / O v • �� a / iaA-ck_ ,a7 Penne 22/0-992/
Architect Address Phone
Engineer / Address Phone
Contractor 4CIxe Mf#_. Address �n P'h�pn
Legal Description of Property (Give complete description from deed, tax receipt etc ) . _,t1__ ss2 X5 .3 _ 54I 2
,tor 7-g /34.K sI Ko Kofl6 7-o wit/SITS
DESCRIPTION OF WORK: New Addition Remodel Moving
Size of Lot /44 K / i n / Sewage System
/ �[ /
Stories / .Dimensions 02ea •nt' .2 .2.3f .24 n Total Sq Ft
Rooms) Baths 2 Basement Foundation Const ('^L+����__> Chi
I Full, part. none
Heat. System ��y� f Roofinn Ext. Finish %/
Use of Bldg. J�q.LLrd1�cCC_Lr ..'Li1�.cuA.cTGGIJ._�
Bldg Zones— pL Fir one
�✓"1�nY,!'`"w, IFr�s Coonnc.. Br., etc.) ,50
m G 9 valuationa_// 900—
ne aM' AFI�p lace �qI
(Kind) /11 y �l�Nue.ba
Int. Wall Finish /1/,,all �l
No of Units_ Bedrooms 3
� Q
PLOT•PLAN
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
tem and water supply lines.
'IVOR 3/sr AVE
err
PRAPUSBD Arf
ROGSIPZFCO 0.ARASP/
it
I hereby p€rtAYy informs
as shown.
State License No.
6K— 041 FILE
Ind. Ina. Acct. No.
223-0/-/7992
PUT oN F//-5
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plana Mailed
SOUTH
ibmitted is correct and there are no other structures located on this property except
i �/ /-2/f-75
Date
RE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
Own>•F oyAcant
A LAND OSE OR STR
THIS 15 E107 A PERMIT.
7/I/z0.)40
DO NOT WRITE BELOW THIS LINE
Your street address will be/0 92.7 P , 3 Let a/ -e_ The zone is 4.01/- he twht )7/(-21/4
Sewage Permit Number Issued Building Permit Receipt 9/6.4/ Issued
Remarks
Form 523.81dg. Code