1974, 06-17 Permit App: K4952 AdditionCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE _____ _ ___ _____✓.__.._..
NLKMIT 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 thel
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 oy 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 fli gb a C- J IVCa./Address Phone y y a Z
Architect Address Phone
Engineer Address _ Phone
Contractor Address Phone
Legal Descripti of Property (Give complete descri tion ro deed, tax receipt, etc.)
DESCRIPTION OF WORK: New ✓ Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot 9r6 1 V_ I h0 Sewage System Co(Fr�sConc., Br., etc.)
i
Stories Dimensions P/ / A -R.5 _.Total Sq. Ft, OLTV— Valuation x
Rooms _I Baths Basement Foundation Const. —Chimney Fireplace
(Full, part, none— (Kind) (Number
Heat. System Type of Roofing Ext. Finish __. Int. Wall Finish
Use of Bldg. /L - _— No. of Units—Bedrooms
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 and water supply lines.
NORTH State License No.
Ind. Ins. Acct. No.
SOUTH
REQUIRED
Plumbing Permit
e+ Heating Permit
a Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby c, r 'fy ^ormation subm" ted is correct and there are no other structures loc
as shown. ,, X
/ / 7
ncr nr Av + T\ofn
on this property except
1
S p is
?naH k
N C�
�-
Dnq '
i.iell
C
f
V,