1975, 01-20 Permit App: K6637 Relocate Residence• 4110 •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERMIT
REQUIRED.
listructure
a srequired yucgeslnto erect
nor re of the
kind orr alter any bulding orstructurelreadyerected, ortohanalanduse. Constructionmust conform with
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 47.235.
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 flankinga street, and a must be obtained5,rear yard are required.
pertaining to set back and ingress
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must and egress.
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 dedications.
Phone q'S'a8`7 420
iii
APPLICANT FILL IN BELOW THIS LINE
�
Name of Owner Address Phone
Address
Architect Address Phone
Engineer Phone
Address
Contractor .,�LYLc:fii'" '" p p ,,a./.c:¢. �.�.3.3� -� — %� 7e.5-
Legal Description of Property (Give complete descri tion from deed, tax receipt, etc.)
LUT 13/-K 1 VI/AR.3/N3KI APP
DESCRIPTION OF WORK: New
Size of Lot 7o x /zD
Stories _L_Dimensions / 6 x a 6
Rooms Baths / Basement Foundation
(Full, part, none
Heat. System �.. .fr/ i Type of RoofAng
Use of Bldg. /a -XL, . ELL- 44,
Addition Remodel
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Moving BIdB Zon / Fir one 3
SewageSystem ?- Const. -,11-12/744L".
�� (Fr., Conc. . �tc )
Total Sq Ft Valuation /
Chimney f Fireplace
(Kind)( ucif
Vrr
Finish idi
JJ "glint. Wall Finish �J
Const.
Ext.
td .4"D/
No. of Units _- Bedrooms /
PLOT PLAN
propelinesrty andlines; (2) streets; (5)reet or road locations; dimensions of buildings;(3) (6)1ocation of location ofexisting
and
sewage sys-
RESIDENTIAL — COMMERCIAL
PR oPos0 O RRaiDRNe,e
70'
I aereby„c tify information
as shown.
SOUTH
submitted
/"'prorAgen/
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
(49./4,31'Lo
sl�correct and there are
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
�f3 dzAlt az .36 d
ad
no other structures located on this property except
Date
CONSTRUCTION COMMENCES.
Tour street address will be
Sewage Pe mit Number
Remar
DO NOT WRITE BELOW THIS LINE
f. 61 �S--io �J-2
udi sued Building Permit /'( t, 647 Receipt
�(S .L.
The zone isl�9�►
Issued
c„r,,, S9% Bldo. Code