1973, 09-19 Permit App: K2794 Remodel• •
County of Spokane, WasdOsngton
BUILDING CODES DEPARTMENT. COURTHOUSE. 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 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.
TT APPLICANT FILL IN BELOW THIS LINE .2 a ice
Name of owner4.a.F�9 Address
Phone NU-'7-/att-
20=<
Architect Phone Engineer Phone
Contract or },QM f.2. Address Pyhone
24°Legal Description of Property (Give complete descrip' rano deed, tax receipt, etc.) 7.25�A /
kor / a
DESCRIPTION OF WORK New Addition
Size of tt / �(�D
Cons ••-• Dimensions /�Xti/ y -/c2.'(/4, g
(Frame, concrete, brick, etc.) /� T
Rooms_ Baths Basement -- Foundation Const
(Full, part, none) / I • Type of Roofing • ,Ext. -Finish (7j/1.,a1-/GC1s
D ,n o,i'K?il i-ttt- -a-n et-»Vn! No of Units
Remodel X
Moving Bldg. Zon _� Fire Zone
Sewage System Ln -,6 Stories /
Total Sq Ft lc�� aluation /62.0642S-2
Heat. System
Use of Bldg.
Gavage or Carport Attached
Chimney
— Fireplace —
(Kind) (` (Number
Int. Wall Finish 4
Bedrooms
®\/ 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
f'rnvte Det:dched
SOUTH
s bmitted is correct and there are no other structures located on this property except
State License No.
Q, K.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
A LAND USE OR STRUCTURE PERMIT M
THIS IS NOT A PERMIT.
Date
ST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address w111 be SCJ, 49,1 114,,4
Sewage Permit Number Issued
Remarks
Building Perm
OK '"y
e zone is
6.1 Ti yReceipt4cL cr Issued
�
Form 523 Bldg. Code