1973, 06-19 Permit App: K2022 Addition4111
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT, 9
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 Mork 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
es0
Name of Owner
I..
Lit.
_r
ddress -3 Phone //49-1/-4SY'y
Architect Phone EngineerP_,,,JLC.r�i 970,706 Phone
Contractor Address Phone
Legal Description of Property (Give complete description from -ed, tax receipt, etc.)
DESCRIPTION OF WORK: New Addition X Remodel
Size of Lot 7a? r X / 1'0/
Const.. 6 ori O_..dDimensions csi X i 9/
Moving Bldg. Zone / Fire Zone 1 W
Sewage System .PJ'i;n./2 i , Stori?
Total Sq. Ft. 24" ? , i v&luation ct7 Ono
(Fra concrete, brick, etc.)
Rooms_ Baths Basementa Foundation Const
(Full, part, none)
Heat. System "An/
%Type of Roofing 0 _er/[nc�
Use of Bldg. .ft�e Cr• �7C� - -40->,-P_ —
GaCarport Alla h d � ��r / 0-0(-01
0„e97r.C'h et - Chimney ✓277.0 FireplaceC-0223
• (Kind) (Number)
Ext Finis nt Wall Finish
o. of Units Bedro ms
Private Detatched L --re /)
Garage or
arpor a n62 --'c e( -cat- 2/
t 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
SOUTH
m
N
State incense No.
Ind. In5%4cct. No.
REQUIRED
Plumbing Permit -47,
1
Heating Permit
Sewage Permit
Plans Received (0- / 9 - Z, 3
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
rtify information submitted is correc% and there are no other structures
located on this property except
.A4,12P - i 9 - 73
Owner or Agent Date
LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
HIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will b
Sewage Permit Number Issued
Remarks
/1 9..7i ? -%/-?�if,/C14iThe zone is 4"�/q
Building Permit 00 2-2Receipte2%%6' `Issued
Form 523 Bldg. Code