1974, 04-30 Permit App: K4400 Addition•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 1/ a
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 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 )4;uta gqal..a4,
Name of Owner 41- . 7/11A.4 -ti AAX
( VAddress 771, .1 7:21el-444-14‘t,Phone
Architect ` Address Phone -
Engineer Address ` «0-1r) Phone
Contractor .�'✓� •+/7�wy/'`�/y'r et•p----Address (<=!/x%--1-0 -II l Lit -/ Phone`/i4•!R-A do 7-5a,
Legal Description of Property/l ive complete description from deed, tax receipt etc.). �F r11 i+�•r'/(• L - 41* -.09O/
11 `% /0d' A.07 / 13L1'( c5 %J.t-44..rit/i.c!•- (,4F.4- Let
•
DESCRIPTION OF WORK: New Addition •Remodel X Moving Bldg. Zone —1 Fire Zone
Size of Lot /00 X /
Stories =Dimensions ..h
Rooms — Baths "'— Basement __ Foundation Const (f+f�rt-f�i 4ii Chimney Fireplace
Sewage System nst. z4
(For., Con .. Br., etc.l
-!ii• .uc-C.C� Total Sq Ft Valuation /;/61,04
Full, part, nonce (Kind) (Number
Heat. System Type of Roofing Ext. Finish Int Wall Finish
Use of Bldg. ,(_, 4 .{ 11.4.14/ Y/1./' 114-'0
t (54 /A!I-• No of Units _ Bedrooms
• 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.
NORTH
EMPFREr wAV
I here
as shown.
SOUTH
y',\{i�nlf�ormaatii000nn s -fitted 's correct and
Y1 @�/-.
Owner or Ake
A LAND USE OR STRUCT
THIS IS NOT A PERMIT.
State License No.
.�?3-0/-sola
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
wt Heating Permit
NSewage Permit
k-1
Plans Received
Ul Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
",1-,-..S61- ; S!
Date
RE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be /% ,3 7.2 / QgMRA/ T
Sewage Permit Number Issued Building
Remarks
The zone i /•GC'<-< ttt-rk L
Permit niti_ Receipk'fit' IA Issued
Form 523 Bldg. Code