1973, 06-15 Permit App: K2009 Addition• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
o0
GENERAL REQUIREMENTS PERMIT FEE. ._x
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 conneottions 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
Architect \ Phone - Engineer • Phone
Contractor .�JZC7Li 47&-6--t-2_".Address /DC
Legal De cription of Property (Give omt ete description from deed
Address 8�—/__ Z g (2 Y�i
Phone
Phone /�/nl- 2d?a
tax receipt, etc.) S i- — 02.2
DESCRIPTION OF WORK: New
Size of Lot (, !7 ' jC t3 //.
Con imensions 0.76 - -A-
(Fr
(Fr concrete, brick, etc.)
Rooms BathCdt_ Basemenfl 't-!7 Foundation Const
(Full, part, none)
Heat. Syste . i Type of Roofing
Addition /`
Remodel •Moving Bldg. Zone 1 Fire Zone
6 r Sewage System -eel-to-C.-XI Stories
d-72•2_- 1
a G / Total Sq Ft , 5-02 0 /7 Venation
Use of Bldg
n
ChintrSey'"""x2-1, Fireplace
// (Kind) (Number)
Ext Finish --l1_ /!i --a2 Int, Wall Finish
94-7-2-75-€7
..,, //�� // No. of Units Bedrooms
9cI '/_ -'e,/ ---j Private Detatched (--!C--Ci
Garage or Carport Attached
(4/(6411)(L
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed -buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
•
G,o1
NORTH
c
as sho
SOUTH
eby cert'fy information
Owner or Agent Date
LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONST UCTION COMMENCES.
THIS IS NOT A PERMIT.
bra
correct and there
r
m
N
H
State License No.
a3 0/ V 22
Ind. Ins. Acct. No.
RE
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
UIRED
are no other structures located
n this property except
DO NOT WRITE BELOW THIS LINE
will ber
The zone is
Sewage Permit Number Issued Building Permit
Remarks
Your street address
Receipt
A203i
rm 523 Bldg. Code