1974, 10-11 Permit App: K6021 Addition• •
APIPPO-1;1, AS NOTED
;inty of Spokane, Washington
GENERAL
EPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
N FOR LAND USE OR STRUCTURE PERMIT00
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
So 1-1 .9 ) /at, Phone 48 4-77.
Phone 8 38 2 ?8/
Phone
T 17i9 - /-S ,S. 4//U ,c teCe Pho .,28 — V28 2
U. ee
'S u
Name of Owner . 4 C'" t D`2 v %S•
./e. et /4 C:*2
Architect
Engineer
Contractor ' Dfj,C / 71
Address
Address
Address
Address
A-422 S c -' / Aire
Legal Description of Property (Give complete description from deed, tax receipt, etc )
5` -73f t tri
/ack 74re , c! M NCSSk v SI'8O rfStciA/ ,47,r tr m
VO iu �� ?�� �s/ s,� •�>K� cou K fr
1
10 -)ye / / 736
DESCRIPTION OF WORK: New _� Addition Remodel r/ Moving Bldg. Zone ! Fire Zone
Size of Lot /3 %; 74-- X 75-r.
Sewage System CCP k c T4 �Fonstr., C .
onc��
` ., Br., etc.)
-'71) tis/YcT re C7 / Z ivt
Stories Dimensions .20 A 4
i
Rooms �_ Baths l Basement'
(Full, part, none)
Heat. System Co f ce- Ar" Type of RoofinJ�
Use of Bldg. �c s e c( o -. c oo 1
4- )G'xa.c
Total Sq. Ft.
Foundation Const C'd'r c e ` Yr • Chimney
Draw sketch with dimensions showing: (1)
zoposed buildings; (4) distance to property
em and water supply lines.
m
NORTH
Ext. Finish
"-e`!s �
PLOT PLAN
,tut_o___
Valuatio(g h 3c
a U Fireplace A - e
(Kind) (Number
Int. Wall Finish 6 U' /7
No. of Units 1 Bedrooms., 3
property lines; (2) street or road locations (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
S License
.Gs "W
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number Issued
Remarks
NOT WRITE BELOW THIS LINE
The zone is
Building Perm{t 4;6.94 Receipt,
Form 523 Bldg. Code