1973, 01-19 Permit App: K383 Addition w
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMITS/ o a
GENERAL REQUIREMENTS PERMIT FEE (O �
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 mast 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 47.235.
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.
C�J APPLICANT FILL IN BELOW THIS LIN 'J6(
Name of Owner a"h..c11.–S- 411...ar.' •ddressyre6 "7 "�"e Phone 7�'�,—q3 3
Architect Phone Engineer0-rA e,,) Phone
Contractor Address Phone
LegsDescription of Property (Give complete descripti n iro d ed, �ta receipt, a .)
a'�-c.t.2- / C�J� — v/V `1 k.! 7n) '`—
e., f
/Is a s--- `1-(-
DESCRIPTION OF WORK:New Addition Remodel MovingBldg.Zone esu
Fire Zonea
Size of t �j -,itt¢.c/ Sewage System Stories
Const. Dimensions /v, 7 K / )- X V , --4i Total Sq. Ft. i-/(6 q Q4. Valuati
(Frame,concrete,brick,etc.)
Rooms Baths Basement Foundation Const. Chimney
(Full, part, none) Fireplace
(Kind) (Number)
Heat. System Type of Roofing Ext. Finish Int. Wall Finish
Use of Bldg. No. of Units Bedrooms
rage or Carport Attachedg) /lftfi/tl
Private Detatched
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 buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH / �.� � State License No.
n w Qt-C e–i4 • Ind. Ins. Acct. No.
t
i� 10� —�- / Q' R .UIRED
75 - - r' � ' �' >,
! Plumbing Permit
r,,,.7 i �ON 1
If m Heating Permit /1
y �. a �r
-� ,, e, Sewage Permit ,
s . i
Plans Received
di Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereb certify in ormation su witted "s corre and there are no other structures located on this property except
as show
7/V73
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
�7 DO NOT WRITE BELOW THIS LINE
Your street address will be / / 7# � ,
Sewage Permit Number �— The zone is /J
Issued Building Permit Receipt . �ssued -Y
Remarks ���
(3*—e)
Form 523 Bldg. Code