1974, 08-12 Permit App: K5497 RemodelCounty of Spokansv, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
46 to
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of arty
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 �r
Name of Owner ' psi ' i at .K' Address ! = - - ' _ %� + Phone 9x2 ' Y0. 0
Architect Address Phone
Engineer r �yC-c �/-1- Address '�, Phone
Contracto-r Address el -e-/00/"7- / XtOiPhone 9.j, - 1,CAS,
Legal Description of PropertY (Give complete description from deed, tax receipt etc 1
7 C-1—euo.t 31E / 7,t $t E— / /1, 9
Orea.,/ �zwJ, i ( os2. –.ate,
DESCRIPTION OF WORK: New - Addition Remodel yLS Moving Bldg. Zone = Fire Zone
r .Al/Yl7 P/ ,q�%/1 ",77 Q
Size of Lot /Odg y i'iX.s� Sewage Syste t>t , ConstCC/drf
- (Fr., c., Br., etc.) co
Stories Dimensions �Lle4/2/!vim%moi (%Zp e2 a,, /0 e X /0 r Total Sq Ft �// 5'.] Valuationyr ne,
y- v
Rooms Baths Basemen Foundation Const .a'GQ tr a'r Chimney /0R Fireplace 4)79
4Fnll, part, novel(Kind) (Number
Heat Syste Type of Roofing _ Ext Finish, Lid Int Wall Finish
Use of Bldg. L2 -6-c) ,..4-Q-7r-Ct- G_AA,, 1No of Units ,Z Bedrooms 42%9
ti(}'") PLOT PLAN
O
,Se"
raw sketch with dime stons showing: (1) property' lines; (2) street or road locat ns; (3) locationof exist ng and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
m and water supply lines.
rn
Us
y
NORTH
State 'cense No.
In . Acc t. No.
REQUIRED
Plumbing Permit
Heating
cm"
Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certifyA informationsubmittedis correct,and and there are no other structures located on this property except
as shown. �1a.16 •.::).4, I��/� / f4lYJ2-aLJ c4/%rte/% '57
//\\ Owner or Agent o Date .
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
Your street address will be
o
The zone 1
Sewage Permit Number - 0././.0-4
� /` // �./ �.e Receipt(C8 J I Issu�rd bff7'7
Remarks `i -2�.. d ni /�%S/— l "J , O K-,--6,77-.4
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sued
Building Permit
Form 523 Bldg. Code