1974, 05-01 Permit App: K4435 AdditiionCounty of Spokane, Washington
• BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT d.
GENERAL REQUIREMENTS PERMIT FEE 7°t 41
l^
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 42.235.
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 LI 99x06 ��4 -
�Name of Owner �f/Lf .PAS Address / - Phone
Architect Address Phone
Engineer D ,/ Address v:+ Phone% -7'/ o
/Contractor a- �F a !'.�-f ' Address Phone lam' Y - �a
Legal D tcrription of Pro erty (Give complete description from de tax r ceipt etc 1
7' fr
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. KanFire Z ne
Sewage System . -
' /� �Froust., C Br., etc.)
Total Sq Ft6<35 Valuation" I U r n
Rooms Baths__. ---
Basement —
11. (Full. part, none) Foundation Const 4'74_4177,--::/.Gr4^+
Heat. System Il X, e' Type of Roofing
r)
Size of Lot
Stories Dimensions
77 ' x gas'
/.5- / I, 07'7
Use of Bldg. /.jte,
Chimney Fireplace
(Kind) (Number
wQQi -
n No of Units _ Bedrooms
PIAT PLAN I4CZ r ° „tryLe
Ext. Fipish �%Lt o- • - Int Wall Finish
Draw sketch with dimensions showing: (1) property lines; (2) s eet eeet#eac;„(3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) THMansions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH /
SOUTH
Sta Lice
Ind. Ins. Ac . No.
Plumbing Pe
Heating Per
Sewage Permit
REQUIRED
Plans Received
Plans • ecked
Plans ned
Plans Picked
Plans Mailed
I hereby certify informs on submitted i/Jcorrect and there are no other structures located on this property except
as sbowx � /7
Owner or Agent
Date
—2
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be ' /( —77 $'
I,QiJQ� The zone is
Sewage Permit Number Issued Building Permit/Kw) Receipt 5-907 ssued
Remarks ' 11.51
Form 523 Bldg. Code