1974, 08-12 Permit App: K5489 Addition• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMI �%
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 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 onwater 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
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.
F
not be performed until staked by County Road Department and work must be
APPLICANT FILL IN BELOW THIS LINE
Name of OwnefiE - • L Address
Architect Address
Engineer Address
Contractor Address
b 3
Legal DescriptionL ivee(y r complete description from deed, tax receip
.00 -,24
DESCRIPTION OF WORK: New Addition /` Remodel
2
Size of Lot
Stories
etc
one
Phone
Phone
Phone
?J-- d 2.3
o Z o/
Moving
Sewage System
Rooms' ,Baths
Basement _
art, none
Heat ystem Type of RoofingAst
Use of Bldg. i`n-7•,n�"
Fire Zone 3
CQwBr., etc.)
Total Sq FtS27 uatii 2 ref O
— Foundation Const Chimney Fir lace
(Kind) (/ )Number
AP____ /, I' /-
Finish 7::-/ Int Wall Finish.,
No of Units__ Bedr md6 s "'--
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
ter supply lines.
as
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
State Lice a No.
Ind. Ine. Acct. No.
'
`� SOUTH
I hereby certify inforoapion submitted is rrect and there are
shown. hvbai.t
coyAi
Owner or Aghbt Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Plumbing
rn Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
DO NOT WRITE BELOW THIS LINE
Your street address w111 be/ 6 .?.,L
Sewage Permit Number T_ Issued
Remarks
The zone is
Building Perm T,V5 r/%t Receipt
/y
/issued
•
•
Form 523 Bldg. Code