1974, 05-23 Permit App: K4695 Renewal of J3695County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE .____ /s '`
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 Own
Architect
Engineer� �
Contractor `�.:�.__�
Legal Description of erty
Address q:—z----- Z
Address
Address
Address
Give complete description from deed, tax receipt, ,tc.)
Phone
Phone
Phone
Phone
DESCRIPTION OF WORK: New ✓ Addition Remodel
Size of Lot 3 �3' 4' v ,, , J020
Moving_
Sewage System
Bldg. Zone
/ Fire Z.
Const
(Fr., ., Br., etc.)
Stories / Dimensions r‘ ',...r_/ 9 ' ' .' x / i ' Total Sq. Ft. - Valuation -
Rooms ''/Baths (' Basement 14 Foundation Const. 0 -!� e?�-!� Chimney ,Qd Fireplace -1C/9
(Full, part, none) " (Kind) (Number
Heat. System o Type of Roofing Ext. Finish Int. Wall Finish
r'� - Z._'.-"' - No. of Units _ Bedrooms
PLOT PLAN A,« %Q/L7---crl /
Draw sketch with dimensions showing: (1) property lines; (2) street or road loca ions; (3) location of existing and
proposed buildings; (4) distance to property
tem and water supply lines.
(Give
of Bldg.
m
tn
NORTH
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
eccJu� 3 g_i`
6L,Lei -6
c-/
SOUTH
State Li a se N .
I o. Ins. A cwt'. Igo.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I.�i94eby c vi"ify infRrmatio syrbmitte is correct and there are no other structures located,on this property except
as shpw
Own or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address be
Permit Number
Remarks
w e 1 �1
Iss.-.
A--The zone is
Building Permit 7d,� ceipt (J:04
Issued
Form 523 Bldg. Code