1973, 02-27 Permit App: K645 Additiont,
Counfy of Spok®oe,'Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ./Y°
PMMIT 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 oneater 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. 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 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 Owner
Architect ,�I-c-,
Contractor /,t.tc4 6..145CSl-
Legal Description of Property (Gi
.L/i T 6 L3 Cts
ddress _ 4 . A .1 . /..J Phone
PAPE gineer / Phone
--GU.LL Address a /77.1-5-63pp ..4.5 -274,44m. -Q Phone 171A-1,-•I�. lf�
ve complete description from deed, t clt'ec Vpt, etc.) .M1.x((.t `a...i-Tu//- 1236,
t, 0.4)..../F 3 .
DESCRIPTION OF WORK: New Addition 1/' Remodel
Size of t
Cons .444vt12.... Dimensions
(Frame, concrete, brick, etc.)
Rooms Baths Basement — Foundation Const
(Full, part, none)
Heat. System— Type o -f Roofing.
Use of Bldg..// L lid 4.(�f,C7,!'.K.0-!.C_
Garage or Carport Attached
02A•/X 24
Moving Bldg. Zone ._—J Fire Zone .�
Sewage System Stories /
Total Sq. Ft. '3 q� Valuation 'I 00
Chimney fireplace
A-. (Kind) (Number)
EYt Finish }vE-t�(.JPxtt�f int Wall Finish
441— 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
m and water supply lines.
No. of Units Bedrooms
Private Detatched
I hereb
as shown.
NORTH
State License No.
CCK
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
information su m t ed/)1 correct and there are no other structures located on this property except
l . -7
I\ G Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Owner or Agent
Your street address w111 be 4 7 7
Sewage Permit Number Issued Bu Id ng Permit
e zone is ��.Cf.vq_Lal.d4'Ite...544. "'.
/Receipt re)4. Issued
Remarks w ! d
Form 523 Bldg. Cede