1964, 04-04 Permit App K4114 Residence, Garage•
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 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
Name of Owner, 44//1/‘ /r. Tobei STO f✓ Address PO X /5c9.9 PhoneyvZ,--7O
Architect Phone Engineer Phone o
Contractor R1_4r4' / •JOI1//.:77'U/✓ c3
Address i •0 •,ox /5�,sf3 Phone 5-)2-.s 70/
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
7? fir. ot" Aar 7 iM'U resE- hr/� 'r,' rr e ' / 7-P /54ae_, ' i ze/675L cX
/?2J/doe F,/sr 4-,01)/r7o (w Q 6 /- L/I a
DESCRIPTION OF WORK: New
Size of L t q.� 1� /
Const. iQ,4 41 L Dimensions
(Frame, concrete, brick, etc.)
Rooms__ _ Baths r:. Basement
(Full, pa'L done)
Heat. System «678 l345 I3 Type of Roofing
Use of Bldg.
r Carport Attached
iv
Addition
Remodel
Moving Bldg. one 1 Fire Zone 3
.7X37-,27X34-f9-1)(2y
Gar
Foundation Const
sketch with dimensions showing: (1)
prop .ed buildings; (4) distance to property
tem and water supply lines.
NORTH
Corn P
Sewage System
Total Sq. Ft
o�1iir� Valuation v
Stoics /
0IV C- E ETC Chimney No Fireplace e
(Kind) (Number)
Ext Finish Int. Wall Finiship
/'
No. of Units / Bedrooms h`
Private Detatched
R,e (c'QY+(a/
property lines; (2) street or roadlocat ing and
lines and streets; (5) dimensi o ui dings; (6) location of sewage sys-
PLOT PLAN
1\
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I
I hereby cexti information
as shown. V///
Vne or Ag.'t
A LAND USE OR RUCTUE PERMIT MUST BE ON THE PREMISES BEFORE
TH-!,S 1S NOT A PERMIT.
O;'4 0-' -Q'
SOUTH
sub 'tted
4
Ind. Ins. Acct. No.
REQU4RED
Plumbing Permit
Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
Your street address will be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
`7L-/lc/c.
Date
CONSTRUCTION COMMENCES.
e zone is
Building Permit,4 Receipt
•
Form 523 Bldg. Code
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