1975, 02-19 Permit App: K6755 Remodel• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
•
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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d
GENERAL REQUIREMENTS PERMIT FEE i
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 he
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
Name of Owne - - - Z
Architect 1
Engineer
Contractor
Address
Address
Address �j
Address %sDG L
g.
Phone
Phone
Phone
Phone
.07-2 75K9a
Y -1Y - er9 nli
Legal Desc,n. ion of Property (Give complete description from deed, tax receipt etc I
r
---'-,-�-i-4C-e•-- i at . %6� /gi..e�.1. C" .-c,6 m
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot
Stories Dimensions ✓'Ire ---7---1
Rooms Baths Basement Foundation Const
Full, part, none) pe
..— Type of Roofing Ext inish
•JZ, -.1-7/7-e. ca,------r-
-C-C....65
.>9-xa-�
Heat. System
Use of Bldg.
Moving Bldg. Zpne / �
Fire Zonb
Sewage System ,�i„// f onst.
(Fr., Conc., tc.)
Chimney
Total Sq Ft
(Kind)Valuation d00
ul Fireplace
(Number
Int Wall Finish
No of Units_ Bedrooms
,c,G-(//
-er-ft
PLOT PLAN
aw sketch with dimensions showing:- (1) property lines; (2) street or road locations; (3) location of existing and
'used buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
State License No.
23—O/-77 Set—
Ind. Ins. Acct. No.
1-/5-2
SOUTH
as sh
tif.r
- t�r�`=GC
Owner or Agent
LAND USE OR STRUCTURE
THIS IS NOT A PERMIT.
REG UIREE�
Plumbing Permit
Heating
/`
Heating Permit \\\
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
a ' or ect and there are no other structures located on his property except
Date
RMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
D NOT WRITE BELOW THIS LINE
Your street address wIli
4"--Z-- //�H�}.TThhe zone is -'D.• • 729
Building Permit
Sewage Permit Number ssued
,r; _ ceipt 92 Y 7 Issued
Remarks
Form 523 Bldg. Code