1974, 02-28 Permit App: K3725 AdditionCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON "201()0,,q N
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 7
GENERAL REQUIREMENTS PERMIT FEE ...........................
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of ay
kind or alter soy but lding 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. Rater supply must be approved by the County and State Health Departments. Where workonwater connections disturbs
the surface, shoulders or ditches of County Roads, permission mast be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Non. 45-IO3antl 47335.
SET -ROCK FROM PROPERTY LINES. In mast zones suit under most circumstances, a set -back free the treat 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 abut. a State Highway, clearance must be obtained pertaining to bet -back and ingress
and egress.
COUNTY ROADS. Work on street right-of-wy may not be performed until stoked by County Road Department and work must be
performed I. accordance with stakes. Points of ingress and egress most 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 Npartme.t.
ACCEGSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and essementa ruining 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 qy��
Name of Owner tldress Phone wA-6-3397
Architect Phone Rn ginner Phone
Contractor .6iN*Y L, Address Phone
Legal Description of Property (Bines pomplet den cr Dtlov from deed• tai a.ipt, to. µ S443 -01 O
DESCRIPTION OF WORK: New_ Addition _X— Remodel _Moving _ Bid . Zone / Fire Zone
Sire.fI9t, eld X/..x'—e) /
J , � Sewage System Stories
Const. 'tl1 Di..;; 4X /L, Total Sq. Ft_Valuation ySD/ v d -Q
(Frame, concrete, brick, etc.)
RoemeJ Baths Basement � Foundation Const O6-� Chimney _ Fireplace
(Full, part, none) n n /� (Kind) (Nm er)
Heat. System- Type. RomPipg Ext Finisht"AAA' C-,.^F/�.'.ME Int. wall FINsh �_
Use of Bldg. a^^'�-tj"4' �1 L%.c.[/�Cdi __A'3'✓nC/ No. of Units _ Bedrooms _
Garage or Carport Attached Private Detatched
PLOT PLAN
Draw sketch with dimensions Showing: (1) property linea; (2) street or road locations; (i) location of existing and
Proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sy.-
tem and water supply lines.
Form 523 Bldg. Code
NOR
State License No.
Ind. Ins. Acct. No.
1
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REQUIRED
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Plumbing Permit
fw
HeatingPermit
vt
F
w Sewage Permit
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RRs
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Plans Receivetl
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pr'20 POScD
Plans Checked
/{OD•
Plans Returned
- - -
Plans Plcked Up
Plans Mulled
SOUTH
I her y.�4r y iuformatiov submitted
is correct and there are no
other structures located on this property except
es ahcwv
Qlry
G.c�b2��1w�
2 2ZF 7�
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be 3dol P, g- e one Is b
Sewage Permit Number Issued Building Permit Receipt Issued
Remarks
Form 523 Bldg. Code