1974, 04-22 Permit App: K4286 Addition, RemodelCounty of Spokane; Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 r _,
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ------------- _.__.......
PERMIT REQUIRED. A land use or structure permit is required YComtyy Resolution change . land use. to erect a builnn g or ennfonre of
any
kind or alter any building or structure already erected,
or t th th
Spokane County Building Code and Zoning Ordinance. Construction I. subject to its Peetion.
WATER. Water supply must be approved by the County ap vmisaionemmt beobtained fr@omrthe County Engineer's Office.
the surface, shoulders or ditches of Comfy Ronds. Pe
SEWAGE SYSTEM. Permits are required is all cases by County Resolutions Not. 45-333md47.235.
SETBACK FROM PROPERTY LINES. In mostzOnQBand a ids underfmost
ecircumstances.
ing street, sand ac25fr. rearth.e fd arronte ropertytl If-. of at
least 25' is required, a 5' side Yard,
STATE HIGNIIAYS. Where the structure abuts a State Highway, clearance meet be obta lned pertaining to set -back and ingress
and egress.
COUNTY ROADS. Workan street right -of -may, may not be performed until staked by County Road Department and work must be
performed in accordance with stakes. Points of Ingress and egress meet 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 Highs" Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provision. Of covenants or dedications and egarments running with the land
which sr. enforceable through civil actin. County Officials cm not bring action to enforce covemnta or dedicatims.
APPLICANT FILL IN BELOW THIS LINE .j!/,d- in,.�� Q9alJ(o
Name of Omer
Address
phone u�A-i.-99SS
Phone
Architect _-
Engineer Address Phone
Contractor CLQ D Address Ph..
Legal Description of Property (Give complete description frau dead, tax receipt, etc.) 'Z
c _ PJ!/lfil_7Z�isJ•-+.1�>• irzr/a_
DESCRIPTION OF WORK: New Addition __7�— Remodel Moving—{g�1dq. zone �— Fire, ...�_
Size RI Lot Iv7X/�%Jr Sewage System`-, •eTii n" PosCs:�-�
/ 1F ., Conc.. Br., etc.)d
( L/
Stories LDimonsiona /2 �' � ' �O k �-1 Total Sq. FL ,_Valuation ,/
_ nd-1t'ef -e Ao0 Chimney Fireplace
Rooms _I_ Barba mean. nS Fonnde[ionConal_ Kinch
INu er
Fu I, vTert. norraT— y
Heat. SystemA1VPe of pooling Est. F'tt✓•°'t- Int. Well Finish
Use of Bldg. kt�t ry b �/ No. of Units _ Bedrooms
PLOT PLAN
Draw sketch with dimensions sharing: (1) property lines; (2) street or road locations; (3) location of exleting and
wOp... d buildings; (4) distance to property lines and streets; (5) dimemions ofbuildings; (B) location of sewage sys-
tem and water supply liana. Btvte Licevee No.
NORTH
Ivd. Iva. Acct. No.
I
s
' REQUIRED
f AowrrdN
) Plumbing Permit
aSewage Permit
Y A
M03/4K HdM Plans Received
Q" Plans Checked
Plans Returned
I � ENCA.Obc C—K Plana Picked Up
35' OrcK Plans Mailed
IT
I hereby certif information allied is correct and there are no other structures located on this property except
as .1a wn.
c :C!
Omer. gent Date
A LAND USE OR STRU TUBE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
DO NOT OWRIT! BELOW THIS LINE
Tow street address will be ;11!_G, The .me is
sewage Permit Number Issued Building Permi rID[/ 1>L7[(e Receipt ,j'LZ/_ Issued
Remarks _ � U
Form 523 Bldg. Cc&