1973, 04-02 Permit App: K1100 AdditionCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 992
0 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, 45433 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. Wherethestructure 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 t e land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedica ions.
APPLICANT FILL IN BELOW THIS LINE
t
me of owner v -%
Contracto
Contractor t•--- Le1 Description of Property (Give complete
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ddress a2 % `n
Phone Engineer cD7?,5 (0'f0j5&.4 rks
Address 990,2J7
description from deed, tax r ceipt, etc.)
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Phone (t) A -(p —7/
Phone
Phone
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DESCRIPTION OF WORK: New Addition X RemodelMoving Bldg, Zone
Size of 5S', 9 t / )( / / (j , 9 Cl
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(Fr
Ro
te, bri
Sewage System
Dimensions c �C / Y + (a )( e'2. � Total Sq Ft
c etc )
Fire Zone
Stories 5-71.
tion �9 y_(LO -
Baths Basementan Foundation Const Chimney Firepie 16 �iO __--'
Heat. System c
Full, part, none) (Kind) (Number)
Use of Bldg. _Os Type of Roofing Ext Finish , t ., Int Wall Finish q t
t a z Q, A , P (4, if ^,-en,vo. of Units I `�edr oms( --14 ,)
Garage qr Carport Attached -1;4,k i Kt C,K i Private Detatched
ilki----rsiPLOT PLAN
raw 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-
tem and water supply lines.
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NORTH
SOUTH
hereby certify information submit
464(-0
as Own. ��
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Owner Agent
Ind. InsAcct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
/HIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Sewage Permit Number Issue
Remaryitep
Your street address will be
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Building Permit
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Form 523 Bldg. Code
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