1974, 06-10 Permit App: K4867 Addition•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMI
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 mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. 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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner Alb 3 Address 2 �—= f?2% "� ?Z Phone
Architect Address Phone
Engineer Address Phone
Contractor 7? 7 Address 7S %1 Z_ _I ` '`� Phone -Yg' 1/ C7
Legal Des tion of Property Give p tete description fr deed, -tax receipt, etc )
eS
DESCRIPTION OF JIY,ORK: New Addition Remodel Moving Bdg Zone Fire Zone
Size of Lot �(,'�f`L.— Sewage Systeme ons .
j Fr Br., etc.)
Stories / Dimensions 4.-2---4/.--15— - `s'�' 5 Total Sq. Ft — Valuatidn nc'C).
Rooms/ Baths�'Basement Foundation Const.
Full, part, none)
Heat. System Type of Rng Ext. Finish
Us of Bldg. '-�
PLOT PLAN
Chimney
Draw sketch with dimensions showing: (1) property lines; (2) street or road 1
proposed buildings; (4) distance to property lines and streets; (5) dimensions of
tem and water supply lines.
m
ut
NORTH
/�-
21
I hereby yiftt,arn/r
as shown.
ii.:,
'Owner or Age
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
SOUTH
tted ,i
m
a
N
Fireplace
(Kind) (Number
Int. Wall Finish
No. of U. _ :e.roo
ations; (3) location of existing and
uildings; (6) location of sewage sys-
Slate Lice No.
- %s
REQUIRE
Plumbing
Heating Permit
Sewage Permit
-
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
rrect and there are no other structures located on this property except
/�, _ 77
Date
DO NOT WRITE BELOW THIS LINE
Your street address will be / Z5 2 The zone lsc2-y
Sewage Permit Number Issued l� _
RemarksBuilding Permi ReceiptIssued
L�j V
Form 523 Bldg. Code