1974, 04-09 Permit App: K4222 Addition•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, 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 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
VS6-3s)—
X0t -'tet
Name of Owner h r 2 0 Ate Z /v a Address z 9 15 A4 n // 2 t%er/ihone 5' 2 r -5.-z14,
Architeet Address
Engineer. 55‘4E Address
Contractor ll'i e- Address S'g( A( Z
Legal ()Pc'? s fi cl rof,Propal ii v e e complfl ®e,descript112 deed. tax receipt, etc.)
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Phone
Phone
Phone --5-1/
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li/ofY"
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DESCRIPTION OF WORK: New Addition r✓ Remodel Moving Bldg. Zone." ( Fire ?qne
Size of Lot 0 A a /+ c. r Sewagq Systemsi'� i /f'+pt✓ onst. `'%
't" Fr., Conc. Br.. etc.)
Stories Dimensions i�.�/ X �4'' X 7 �CEi14~f t.'2 K7otal Sq Ft a- Vatuatio
Rooms Baths Basement FH /1 Foundation Const. e e M=,' �{ Chimney 10 Fireplace !DO 0
(Full, part,
part, none) (Kind) (Nu ber
Heat. System C /, ..e+Y Type of Roofing A/4 /t7/A//4i xt Finish WO 6 c/ Int Wall Finishsh�r� o 0
Use of Bldg. ! I i j c i7 v_ iv / L i t� 1' . -..0,^ ii/ iY i A --e' in v ill No of Units' Bedrooms 0
V t item PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
and water supply lines.
NORTH
7
90'
1
R�
Y6-7
SOUTH
REQUIRED
Plumbing Permit
Heating Permit
paingeraFteneatt
Pdaas.$eceived
Pl
Plans -Mailed
hereby certify information submitted is correct and there are no other structures located on this property except
41/ 9 %7s'
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT .4 PERMIT.
as spgwn.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
Anti
Issued "Building Permit
The zone is//,//�,- 041jL
2 -Receipt issued
•
Form 523 Bldg. Code