1976, 12-07 Permit App: L6413 Residence, Garage, Deck• •
Cooly 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 orstructure 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.
MOVINe, 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.
RESTRI TIVE 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.
ff�� APPLICANT FILL IN BELOW THIS LINE
Name of Owner kiLBALlZ"- AIN OC-& . Address T'oS i I -Ab. L�-�1%I�H'r'' Phone/ -24)0 '64'9 3 S',43
Architect
Engineer
Contractor Ki4 y �O ��%R✓G rico dc-),
-1'DN 0t 2.i,c1A
Address Phone
Address
Address
Legal Description of Property (Give complete description from deed, tax receipt,
L o r 7 /3 c_c. cm_ I.
5 i<m," - b -55
tc
Phone
Phone 53 ' 7 7'! 7
IQ�S. 'CG/'4 Oti ✓��/7-O/U`7
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot t /iciQ j_ 3 ao- /6 O - p -O -/d'd
Moving Bldg. Zone / Fire Zone
Sewage System 5' 4-91- C-onst.
(Fr., Conc.,
Total Sq. Ft 3 347° Valuation
oundation Const
Stories Dimensions g e X 31
Rooms 0 Baths .2- Basement
(Full, _
part, none
etc.)
a Uv-.)
Chimney Fireplace 1 ..
Heat. System (Kind) ,(Number
v F. A- ra✓� Type of Ro�fing S tI R tCIL Ext. Finis i� e"� Int. Wall Finish ��
No. of Units _ Bedrooms
Use of Bldg.
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.
en
H
NORTH
SOU TH
State License No.
KAV1 1 -
Ind/ Ins. Acct. No.
REQUIRED
Plumbing Permit
rrr Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby c tifYnforma iQn submitted is correct and there are no other structures ],ocated on this property except
as shown. [/ r 3/ .7
Owner or Age
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE COMMENCES.
THIS IS NOT A PERMIT.
Date
CONSTRUCTION
DO NOT WRITE BELOW THIS INE
Your street address will be �� 9 �[v !/ The zone is
Sewage Permit Number Issued ✓✓✓✓✓✓ Building fermi / i /, Receipt s/..
Remarks
ssued
3
For 523 Bldg. Code
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KAY CONSTRUCTION CO.
3822 E. CONGRESS
SPOKANE, WN. 99203