1975, 05-07 Permit App: K7490 Remodel, Renewal of I3193 - _ --,
CoLity of Spokane, Washington
it APPLICATION FOR LAND USE OR STRUCTURE PERMIT / / „O___--
GENERAL REQUIREMENTS PERMIT FEE J
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.
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 47-255.
SET-BACK FROM PROPERTY LINES. In most zones and,under most circumstances, a set-back from the front property line, of at
least 25 feet is required, a 5 feet side yards %Dm a flanking street, and a 25 feet 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 ISO 5 S. (t IA%J WE 7 7'Phone I.t R ' 44t IS
Architect_S A- a Phone Engineer Phone ....
Contractor L R. R n~ r . Addt d a S A 0''1 Er Phone
Legal Description of Property (Give complete de cription from deed, tax receipt, etc.) SE C. . 2.i t O LV/J t�Ip
z5 2AMcr 4144 C • &o ' OF Ai U . $ i 7 . 3 OP- 5 - i/4 aF
SLa- '/f O t- Si 1 " 5 X crdT La '- 'r E xc>+v- 4 '-o ' P 114CrL
215 4
4742/6"-
DESCRIPTION OF WORK: New Addition Remodel ell pE 'E Moving
v
Bldg. Zn Fire Zn 3 Size of Lot i ';k < <,,�' ' Sewage System pit,El E'Pr J t Stories
t3 Sseptic'Tank, etc.) Q p•
i�
Construction T i 14 e- Dimensions Total Sq. Ft. D D Est. Cost 3Sea a --
, (Frame, Concrete, i etc.) " 1
Rooms 9 Basement - C-_ Foundation Const, e X 6S 7himney --`ry Fireplace Htg. Sys. R 114 Fuel a -S
(Full ,Part, None) (Kind) (W., Air, Steam, etc.)
Garage Attached --'" Type of Roofing 'X t S i'- Ext. Finish e-V D R 0-..int. Wall Finish IAV ALL I 0
(Composition, Shingle, etc.) (Sh., Metal, Shake) (Plaster, Drywall, etc.)
Use of Bldg. RE)) ;ga!M No. of Families i Miscellaneous H I X( _ .f/•t t •
L PLOT PLAN i , • / /
raw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) 'ocation 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
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WEST4 4 . . ,.,(„e2-(/ba `z_// 0 l ,__ .. EAST
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Nk V..4i F 1 ."--‘7, '€"2"--E-4"4"5"-',
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S.R.
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SOUTH
I hereby cer . j rtion submitte": cow -ct,
s'"/7/.7.5--
Owner or Agent Date
RETURN TO BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, 1, WASHINGTON.
DO NOT WRITE BELOW THIS LINE
Your street address will be ss-e7 %1_.. ,,
/ . �. se zone is (r- F .../.. /'
Sewage Permit Number Issued B ilding Perms / Y G Receipt? $lsued
Remarks /`
Form 523 Bldg. Code-5M Tripl.