1974, 08-12 Permit App: K5469 MHCounty/`of Spokane, Washington
i
BUILDING CODES DEPARTMENT,,N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 65
APPLICATION POR LAUSE OR'STRU
PIDCTURE PERMIT
GENERAL REQUIREMENTS'
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.
I 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 bt�
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer. a
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State)
ighway, clearance must be obtained from the County Engineer and/or State Highway Department.
/ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
IJRESTRICTIVE 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
PERMIT FEE
Name of Owner fili1-147-Cita,s odress Phone
Architect Address Phone
Engineer .d 1 Address i / Phone
Contractor 1%r#"n� � �� r_"' <` - ""- ,'hone
Leg. Descri -,�,f Pr�o y (Give om.Iedescr' tion%f
: rom deed,A ta! _x receipt etc
Addres
n co- 3-r erxi,
DESCRIPTION OF WORK: New i'" Addition Remodel
Size of Let 9 i x�//�C7 /
Stories Dimensions /1/)( /)✓ g
Rooms r1 Baths ...2'.--- Basement O Foundation Const
(Full part, none �7,,� � %�
Heat. System/ Typ of Roofing 902.2. Ext Finish
Use of Bldg. ' - i'� !7-e-x++-tr• ert-CI et. -
Moving Bldk.Z,one Fire Zone
Sewage System-(4-1Const./t-+t-�"'�
CC 0. (Fr., Conc., Br., etc.)
T.ta Sq. Ft. valuation /I: O der
O d
/do�- imney Od) Fireplace
(N (KinQ (N m
L sari.
Int Wall Finish /
No of Units L Bedrooms €2.
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
em and water supply lines.
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
to
N
State License No.
Ind. Ina. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify formation submitted i, correct and there are no other structures located on this property except
as shown. % �/
Owner( Agent Date / /
A LAND USE OR STRUCTURE PERMIT MUST BE Ol,1 yHE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be J / :3 ea ,,44 -
Sewage Permit Number Issued
Remarks
� The zone is
Building Permit 'S '6,Receipt
1
Bonn 523 Bldg. Code
G.Z 1--10simi4A/
/2913 k.sed J)
0