1974, 06-03 Permit App: K4779 ResidenceAPPRO
Spokane COu tvC unty off_ Spokane, Washington
Date B D PARTMENT N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
by A ON FOKIAND USE OR STRUCTURE PERMIT/--
GENERAL
ERMIT/ GENERAL REQUIREMENTS PERMIT FEE -------/ l ------------
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.
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 r dedications.
% -)APPLICANT FILL IN BELOW THIS LINE,/( i
Name of Owner
Architect
Engineer
Contractor-��
Legal Description of/Property-,(Give,c p tQ
Address - ` - Phone 5"",1' LL' - '�� j
Address Phop"
Address Phone
description frr�R1/�eed, tax receipt, etc.)
DESCRIPTION OF WORK: New Addition Remodel Moving— BIdEp, ZoneFireFire Zone ` _y
Size of Lot �l�<' l am• �' Sewage System =�r Const. ,, Br. -
1 �
r/ r (Fr., C c,,,' Br., etc.)
Stories �_ Dimensions Total Sq. Ft.� Valua ion'✓ 7
Rooms J Baths Basement' Foundation Const. Chimne . Fireplace
LG
Full, part, n e s / a' �% E (Kind) % (Number
Heat. System Ll_C Ci.. Type f Roofing / Ext. Finish /-//� Int. Wall Finish/ z Cr
Use of Bldg.Np r of Units _ Bedro s
� PLOT P AN • �-� � c � cam,/
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 streetrs;Ta)) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH Stat License. No.
jfi-C.�c C .r t ��
Y
�h
to
as
Ind. In Acct. No,
REQUIRED
Plumbing Permit
in Heating Per 't
a
N Sewage Permit
Plans Received
Plans Chee ed
Plans Retur
Plans Picked Up
Plans Mailed
l
SOUTH
I hereby certify informati n su/bmi ted is correct and there are no other structures located on th%vrortyexcept
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
6,WX�Z�_ f] DO NOT WRITE BELOW THIS LINE
Your street address will be ?4 --c; The zone is
Sewage Permit Number Issued Building Permit / ' , Receipt/" r i l Issued /
Remarks
Form 523 Bldg. Code