1974, 10-01 Permit App: K5943 AdditionCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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.
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. 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 %Zn d e i± T % j' t S kr Address %• Q4- 7 7 Al i. s r, e 10 Phone / z C fni O
Architect Address Phone
Engineer Address Phone
Contractor ' 5r ,., 1' Address Phone
175"ya— 0003
Legal Description .f Property (Give complete des
iption from deed, tax receipt, etc.)
DESCRIPTION OF WORK: New
Size of Lot S,'0 ' ,X /4/0
Addition V Remodel
Stories _ D imens
Rooms __Baths
Heat. System
Use of Bldg. (7
Moving Bldg. Zone —/---. Fire Zone
Sewage System const. f*a-h"✓ SHQ
pp� I= 5/4/ (Fr., Conc., Bt., etc.)
ions /T / .7H — L//nt f // i Total Sq Ft �L 0 f- Valuations '�// coir
Basement // Foundation Const Cr 7 r r r fR Chimney Fireplace
Full, part nonce (Kind) (Nus ber
Int. Wall Finis
No of Units _Be rooms
Type of Roofingf'm,.( Ext FinishSl t/L -,.� it /(
AL-, *ea. �er/, it 4- fr.,
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-
tem
ystem and water supply lines.
M
[55i on
,r
SD'
NORTH
SOU T
H
State License No.
Ind. Ina. Acct. No.
REQUIRED
Plumbing Permit
rn Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except.
as shown.
.tom f %6
• Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
COMMENCES.
Your street address will be g,—J/ 74Q Z IOJl.+47/ The zone is�%n.% *_-
Sewage Permit Number I�Issued Building Permit Ks4y 3 Receipt MK Issued
Remarks /C'° 7! 06.1-61-n—c_c
Form 523 Bldg. Code