1974, 06-04 Permit App: K4857 Residence, Renewal of K1248 County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE J1"
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 "'. '/�
C-2/Name of Owner / / Address. ' ` 1 ''`''t -n,<'' Phone ca--) -3S J
Architect Address - Phone
Engineer Address — Phone
Contractor ke '---6/./A-c1.-Ce--se-c. Address _.__.— Phone
Legal D'•cription of Property (Give complete description fr m deed, tax receipt, etc.)
DESCRIPTION OF WORK: Newfe Addition Remodel Moving Bldg. Zone Fire Zoe
`
Size of Lot (9/ k / .3 i Sewage System Const. B;., etc.)
i � 11
Stories //ZDimensiorj c' ( X 'lO Cva X a-�- Total Sq. Ftt�c,C� Valuation `4g"-"""
Rooms (r/' Baths 1 LiBasement r:`Pf Foundation Const.---e---Z)-W--<-4-Z Chimney Ca Fireplace (-)
(1 ull, part, no S'_ (( (Kind) `.d1 (Number )
•
' Heat. System`s., 4,4 Type o oofing �.; 3.��.2 Ext. Finish /L .�"(,( .C.-f3, Int. Wall Finish /�A411,,
Use of Bldg. j�:/..cz -6. e ,, =?c Z_,t--- Gi •— No. of Units_Bedroomsi
- -/ PLOT PLAN -f'" 73 i'
___)/,(
Draw sketch with dimensions showing: (1) property lines; (2) ,Str or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines acd streets; (5) imensions of buildings; (6) location of sewage sys-
tem and water supply lines. ..._-----
NORTH 41-A ?+ > Q ^,/ State L(��icyense No.
Ind. Ins. Acct. No.
+72., :.W (1.--''' -f) C1671 REQ •ED
XsPlumbg Permit
* /IVA2-. 7(f" in Heating Permit
NN Sewage Permit
-I ,..
44/h. 4 , 17-rt._._-L-t c� 'l (31'--, ....".'.. Plans Received
Plans Checked
Plans Returned
C.'I�--� - '\ Plans Picked Up
Plans Mailed
SOUTH
I he e y cer 'fy information sub itit'je 's correct and there are no other structures located on this roperty except
as shown. "----y"- I �`'
4111,-
V r
Owner or Agent Date
A LA D U E OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
6) DO NOT WRITE BELOW THIS jINE
l
Your street address will be �� /� /` The zone is _ - __
Sewage Permit Number Issued Building Permit Receipt W'Z7'3 _.ued
Remarks }-f /
Form 523 Bldg. Code