1975, 03-18 Permit App: K6924 Addition• t -
Spokane County Bldg. Code ep .
APPROVED AS NO
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.--APPLICATIO
/�.1VIMF
ty of Spokane, Washington
PARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
FOR LAND USE OR STRUCTURE PERMIT
T S 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.
SFW -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 7
Address 1i1 A� iii t��a.Y- Phone aq ��'` ` �r?/
Address Phone
Sem ruAddress Phone
Contractor Address Phone
Legal Description of Property (Give com tete descripti n from deed, tax receipt, etc.) t / , .2 3 7 .2.2 3
-7 -W /1—y ' 0' Y,9
Name of Owner
Architect
Engineer
DESCRIPTION OF WORK: New
Size of Lot S't- ` x .'> r1.7
Aso -
Addition V Remodel Moving Bldg. Zone 7 Fire Zone
Const. Fk+v- -
(Fr., Conc., Jr., etc.)
Valuation Q1 aa a
Cr- Foundation Const. s-r,x-c- Chimney Fireplace
(Kind) (Number
Ext. Finish /% Int. Wall Finish ��i�� ��-
Sewage System C
1 /20'
Stories / Dimensions �' 34 •'G — (2 9b 4 `/J /U ,k / (P' 7Total Sq. Ft / DD d
Rooms Baths JBasement
(Full, part, non
Heat. System Z ----t)(1- Y 5TType of Roofing
Use of Bldg. Q'
oJ2G r fain)
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.
No. of Units_ Bedrooms
NORTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rn Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby 'rtif inf mation s bmitt d is correct and there are no other structures location this property except
as shown. � �L�
C .
3
• 7s
Owner
Date
A LAND USE OR STR1JCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your st* eet abiress will be
DO NOT WRITE BELOW THIS LINE
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Sewage Permit Number Issued Building Permit j `
Remarks
The zone is
Receipt `.
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ea
Form 523 Bldg. Code
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