1975, 05-07 Permit App: K7484 Residence• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT. N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
00
GENERAL REQUIREMENTS PERMIT FEE I/O
PERMIT"REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kind of/ 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 thro :h civil action. County Officials can not bring action to enforce covenants or decations.
APP CANT FILL IN BELOW THIS INE
Name of Owner A S ' /A Address
Architect yip, = Address C �J 67 ,t Phone 3c -/— i2
Engineer Address Phone l�
Contractor - Address
L escription of Property (Give ��lete description from deed, tax receipt etc 1
q- 'd
Phonf S 3 W-920 3
1
Phone
ir
DESCRIPTION OF WORK: New Addition
Size of L t / 10 x/ g vo (Qi ' 0
Stories Dimensions a(� X t/O 11.20c`a /
Rooms Baths '
(Full Basement (r../2"t Foundation
part none) o
emodel Moving Bldg. one Fire Z ne
( Sewage System / Er., C cc : r.. etc.)
/o � I y//` %
�,�-"'�, Total Sq Ft 3L� Valuation
Const t� e-''�` Chimney Fireplace
(Kind) (Numb
Ext Finish Int Wall Finish
NA of Units _ Bedro
Heat. System etc. F/ Type of Roofing ` ./brx
Use of Bldg.
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road(foc"ations; (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 suppl lines.
NORTH
OMMERCIAL
I her y
s shown.
SOUTH id
certify information sub itted is correct and there are no other structures located on this property except
.5-"/V7j--
State License No,
9-)3-0/-/3yrzi
Inq'. UI D
2
Acct),No.
REQ
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Owner or Ag nt Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS ISN• �}
(�fl q� k DO NOT WRITE BELOW THIS LINE
sal
i
Your street address will be / a (O _ The zone
Sewage Permit Number Issued Building Permit Receipt
Remarks
is � ti -
iF —esuedd
:. ..r� Foam 523 Bido. Code