1974, 04-29 Permit App: K4393 AdditionAPPROVED AS NOT. •
Spokane •ounty Bldg. Code Dept
Date 3G, Con ty of Spokane, Washington
ILDING CODES DE'ARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMITB %
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 most 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 thestructure 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.
by
APPLICANT FILL IN BELOW THIS LINE
% Y Cl/ 4,
Name of Owner0 '—' '-""" Address z' 2,r Q J� <<.=-'r (4? Phone 9 -14�--
Architect Address Phone
Address Phone
Address Phone
Le al Descript)on Property ( ive complete description from deed, tax receipt, etc.) c' — 0 5
7
Engineer 2
Contractor
DESCRIPTION OF WORK: New Addition )( Remodel Moving Bldg. Zone / 3
Size of LotJ/7 n X 3 33T° X 3/ 2 0 i' "1 3 c o Sewage System �
r , Co Br., etc.)
Stories -"--Dimensions Jr �i' .2- C., Total Sq F � Valuati ?CC/ C5 ..
Rooms 2 , the i CB,
Kart none) Foundation Constr41�'-•C-* /- . Chimney (Kind)
Fireplace Number /7�j
C� Int Wall Finish �ilr-�'�/- "c'yC•-
prof Units _ Bedrooms ft
Fire Zone
Heat. System Type of .ofinga✓
Use of Bldg.°
Ext. Fin h
. PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH 335.
't1
'349
.6-
3° i1
4,
is 7
3 Js.0
SOUTH
I herebertify informs n submitted. iss j�`9%rrect and there are no other structures located on this propertyrexcept
as shown. A �N.�,7i I ,LG/.l!/c-G\\j/�L..i�'t-(/L — 2.2 - �/
/ \ l Owner or Agent
4 y5 --
State License No.
Ind. Ins.'Acct. No.
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REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
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 will be O _ �f - The zone is a'
( Sewage Permit Number Issued Building Permit g/..//B1:1 Receipt 'sued
Remarks /
Form 523 Bldg. Code