1973, 09-07 Permit App: K2704 Additioncounty ®f Spokane, W :;shingf n
BUILDING CODES DEPARTMENT,' COURTHOUSE, SPOKANE, WASHINGTON 99201
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
kind or alter any building or structure already erected, or to changea land use. Construction. must
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 permitis 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.
r RESTRICTIVE COVENANTS. Builders1'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
4g
d4,
structure of any
conform with the
Name of Owner, /� �� / ddress
Architect Phone Engineer �I� �r
Contractor !t%/-�./N!. o�'K v.(i��� Address ,# / g - /►.
Phone WA -4-9 9'51
Phone
/� Phone 3.6,-�
etc. )44L.CQj (‘1/41-#,..1-.-?.SD
Legal Description of Property (Give complete description from deed, tax re e' t,
DESCRIPTION OF WORK: New Addition i<' Remodel
Size of` J 107
!
Const Dimensions 'i �X Q% )C'
(Frame, concrete, brick, etc.)
Rooms Baths Basem l nt�2L8�Foundation Const
(Full, part, none)
Heat. System �-'�r i Type , Roofing �.//�7i'✓t/�Qi
Use of Bldg. /✓.
Garage or Carport Attached
Moving Bl . Zone 1 Fire Zone 3
Sewage System Stories
Total Sq. Ft 14 SG) aluation 11/4.5,06
Ext Finish
Qt -
Chimney ....-_
Fireplace
(Kind) (Num.er)
AP -7/// Int. Wall Finish
�O' . of Units Bedrooms .�
Private Detatched ��—
i%)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.
m
-a
NORTH
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PRoPos0-a
A O1,17/CN
EXIST/NCS
G.A/30
EX'sr/Ner
Rig
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s1ra
as gi.
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fo a 'on s b fitted i cor ect and there are no other structures located on this property except
' < 4. g— 7- 7�
Owner or AgentDate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
'THIS IS NOTA PERMIT. i
CA -Ass
Q
Q
State License No.
ON Fl
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
AK. �
Building Permit
o(/0
e zone `,ii/s �r
Receipt '7'�-i Issued
Form 523 Bldg. Code