1973, 06-19 Permit App: K2033 Addition County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE /S-A
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.
APPLICANT FILL IN BELOW THIS LINE p
Name of Owner gaN4Lb K ltj2Lt Address E 710 4" 9'i Phone I2 S 1.3S I
Architect s/¢'P'e, Phone Engineer Phone
Contractor 4'/9mE Address Phone
Legal Description of Property (Give complete description from deed tax receipt, etc.)
(A--)o a DLI-1(..0.�1 ?l< ALL O F L 4 j E ►jZ L,5 87
---'ago-1 ` d • a VS 3 V —C 7 G'
DESCRIPTION OF WORK:New Addition X Remodel Moving Bldg.Zone / Fire Zone
Size of Lot 76 " Q" X /1/0 #•^' 0" Sewage System .7ldeP TIG t / 1< Storie / t_
Const. le/pgt i Dimensions /6 X 3 a7. Total Sq. Ft. SCD e ValuationSGO
(Frame,concrete,brick, tc.)
Rooms 3 Bath'BasementL .Foundation Const. C ONGREYiE ChimneyIyy
(Full, part, none) //�"" Kind) Firepla(Numb
Heat. System OIL FWRN EType of Roofing CePh#00S/rjcmy' Ext. Finish At Int.Wall Finish '1i-i '
Use of Bldg. P/�i v A 7'L Won't P t(3-
. -1 P�,(ryC ) i�iC) No. of Units Bedrooms
Garage or Carport Attached L"------71.--2) �Private Detatche��
CC.1 PLOT PLAN
aw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
� QNORTH sta, icense N..
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Ind. Indecct. No.
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i
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•
I se REQUIRED
Pra pqs eckI IV
o t:i=,o n t, ,,, .20 Plumbing Permit
(1-1 1111k
,V .6.7 (I in Heating Permit
nt
cn 7- PA A 71f, X�5+:r 4t H Sewage P141111.
ermit
•
L?
Plans Received
•
,_ Ips -_. -
- I X112'' Plans Checked
Plans Returned
Igr Plans Picked Up
r Plans Mailed
I
SOUTH
I -r:. -rti 'nformatio ubmit d i correct and there are no other structures located on his property except
as shown.
(In^ G -' `/ 6
NOV
Owner or Agent Date
A LA ' USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRU'TIO COMMENCES.
IS S NOT A PERMIT.
C,vo,ti DO NOT WRITE BELOW THIS LINE
Your street address will be A .e zone is . 1/4k<541
Sewage Permit Number Issued Building Permit ReceiptIssued
Remarks /.c33
Form 523 Bldg. Code