1974, 07-19 Permit App: K5287 RemodelCounty 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 st
kind or alter any building or structure already erected, or to change a land use. Construction must co
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 connec
the surface, shoulders or ditches of Count& Roads, permission must be obtained from the County Engineer's
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 proper
- least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are requi
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -bac
and "egress.
COUNTY' ROADS. Work on street right-of-way may not be performed until staked by County Road Department and
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 Co
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 profisions of covenants or dedications and easements running
which are enforceable through civil action. County Officials can not bring action to enforce covenants or
APPLICANT FILL IN BELOW THIS LINE xQ"
Name of Owner
Architect
444._@?
Address
ucture of any
form with the
ions disturbs
ffice.
3' line, of at
ed.
and ingress
work must be
ty or State
ith the land
edications.
6
Phone
Address Phone'
Engineer - Address
Contractor 4/1/1,441.-- Address
Legal Description of Property (Give complete description from deed, tax receipt etc
-.2 d0
Phone
Phone
09,542-67'6'
.t.OTS .-rg -�• 1 .:*.i.oltebC Sufi, TO 5AS,Ei1t1G.7 ACROSS -3.10'
DESCRIPTION OF WORK: New Addition Remodel ^ Moving Bldg. Zone / Firelo e 1
Size of Lot 3/0 X 6x30" Sewage System - Const. M.41
/ Fr., Conc.,
Stories Dimensions . O'Xo20 Total S• Ft �00 Valuation' (dDU
Rooms Baths —" Basement -- Foundation Const ��--� imney Fireplac-
Full, part, none) (Kind) Number
Heat. System .i Ty9e of Roofin Ext. Finish ..5-#-.S Int Wall Finish
Use of Bldg. _JV SKl/1 ..� No of Units _ Bedroom
/14(1)2 -
Draw
PLOT PLAN
e c wiime{fsi.oHs s o ing: (1) property lines; (2) street or road locations; (3) location of listing and
Br., etc.10 O
AJ
Draw sk
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines
I hereby
as shown.y
'State License�
No.
Ind. Ine. Acct.
No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
y informs lc 1
ubmi4 torrent and there are no other structures located on this prop
Ll (o . V'fsrt FA_. -7 /9- 71
Owner or Agent Date
A LAND OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMM
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
rty except
ENCES.
Your street address will be 61.
Sewage Permit Number .Issued Building Permit,; 502 l7 Receipt
Remarks
The zone 1
Issued
Form 523 Bldg. Code