1974, 08-13 Permit App: K5503 AdditionCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON,, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 3 3
GENERAL REQUIREMENTS PERMIT FEE
Oc
•PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of aril'
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.
MATER. 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 Address/ 4� 7 C >te''z-e.i Phone
Architect Address Phone
Engineer Address • one
Contractor Alle�// Address
ription of P' perty (Give co;plete d�-cription from deed, tax receipt et ) O p �1 r <
__ OS 93 ` c / e Z9 9
Phone ,S 1S 7,
Leal !;
•
DESCRIPTION OF WORK: New Addition
Size of Lot
Remodel
Moving Bldg. Zone /Fire Zone
��Sewage System Const. Br.. etc.)
Stories _Dimensions �C/jj ///� �/ -<-- Total Sq Ft Valuat0000
•
Rooms _Baths Basement Foundation Const Cney
(Kind) Fireplace /
(Number
Typ'a,f Roofing Ext Finish _ �. — Int Wall Finish
0 of Units _BedroomS
Heat. System
Use of Bldg
Full, part, none)
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 buildinrs; (6) location of sewage sys-
tem and water supply lines.tP
_ ^
State Licenge No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit i
Iw Heating Permit
CCP
Sewage Permit
SOUTH
I hereby certif\l
b • � rmatign bitted is correct and there are no other structures located on this property except
as shown. (/'//r/
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
2fl&i
,14
Own yrr or Agent
Date
•
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address w111 be 6 / / f f , The zone 1
Sewage Permit Number Issued Building Permit ) t3t) Receipt
Remarks
Form 523 Bldg. Code