1973, 11-07 Permit App: K3216 Addition '((
'v d County of Spokane® Washington
c
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
( APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 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.
r PPLICANT FILL IN BELOW THIS LINE //
` �'� / — Phone 1.,�[i/1L ,cq/
Name of Owner `>�1 y�.�c-- Address c7 moiL
Architect Phone Engineer —�_ Phone
Contractor .. srt.. Address Phone
Legal Description of Property (Give complete description from deed, tax receip ,etc:-4...04M7 0/�5)11 22_/ 3
/41____430 c,-/1 s i2.. el e_v //,.. . N i y e ' i__ o�c .—?-7 ,,x(-)
DESCRIPTION OF WORK:New Addition Remodel Moving Bldg.Zine .T( Fire Zone -
Size of Lot /,.320 X /$.s- Sewage System, j'Ls9 .'/ Stories
Const. --7/'10.y.h..0 Dimensions % )( /A Total Sq.Ft. d 7" Valuation /.5-6)
(Frame,concrete,brick,etc.) �r
Rooms_ ( Baths Basement Foundation Const. 76.-i-e--e _ Chimney Fireplace
(Full, part, none) (Kind) „..._, (Number)
Heat. System_ _Type o oofing Azz,, ✓ Ext. Finish __ 3 ._
Int. Wall Finish (4),....r
jj,- -i
Use of Bldg. Zx, ----— No. of Units Bedrotfms
Cc. age or Carport Attached-/ �'-' Private Detatched- -
PLOT PLAN
aw sketch with dimensions showing; (1) property lines; (2) street or road locations; (3) location of existing and
..-..osed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
•m and water supply lines.
NORTH State License No.
~--- c,, Ind. Ins. Acct. No.
__________s
REQUIRED
60 ' Plumbing Permit -________,
��
m Heating Permit
Hi
to b (0 Sewage Permit
-4 -.I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
A ,�” Plans Mailed
& i
SOUTH
I hereby certify in rm;110
v_______
orr.. and there are no other structures located on this property except
as shown. -- (�A %l`-' �) _ 7,-- 7 -- 7-3
Ovineor Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON HE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOTWRITEBELOW THIS LINE /j
Your street address will be // `7c'�� ` _ ���e zone is (r _ -t'(f--
Sewage Permit Number Issued Building Permit' a Receipt ,Lt %? Issued Ll-7-7---)
Remarks ��� l
Form 523 Bldg. Code