1974, 04-28 Permit App: K4800 Residence, Renewal of K1224 County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 6--d
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 mast 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.
leasttances, a
25' issMrequPired, al 5' side yard,z15' side unde
acflankingnstreet,sandback from 25' rearhe yardont areproperty line, of at
ones 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.
which lareVenforcce enforceable Buildersld
kCountysions Officialscovenants
not bringdedications
toand
enforceeasements
covenantslng or dedwith
cations.
APPLICANT FILL IN BELOW THIS LINE �J
Name of Owner-; -r-y-' 4 -c e1 Address e /1 ,�
/ 4-.+/� gra-04Phone "0dL *- !
Address Phone
Architect Address — Phone
Engineer
Address Phone
Contractor �Lwi.r�'- �'�5,,f/-.6 .-�=��� S/
/
Legal Descriptionof-Property�} 3
(Give completedes from deed,deed, tax receipt, etc.) o
DESCRIPTION OF WORK: New 1/ Addition
Remodel Moving Bldg. Zone Fire Zone
�3 7` oast. �`� '``�"�'-�-
Size of Lot %�U i JC f 3 C
Sewage System FFr., Conc., Br., etc.)
ka d « .sf',<- f-y ' Total Sq. Ft._J r 9 7 Valuation
Stories 1 Dimensions fib' x 5 Fireplace
Rooms 7 Baths Basement Foundation Const. E'1-�`� / Chimney (Kind) (Number
�FUII, part, non - /{�
Type of Roofing 1`''-d3y-ar Ext. Finish U'c d Int. Wall Finish --1 -d e �` '(
Heat. System. f d 1 No. of Units._Bedrooms
Use of Bldg. 4�d flr Q j • ��'`��''`� `' E L�
�t
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines. State License No.
NORTH V.
Ind. Ins. Acct. No.
t
IT
- '1 K-- I ? 21, REQUIRED
, .9","421-"i"--e4-f/
� � i/f/
Plumbing Permit
o, o rn Heating Permit
rn -i�` �"�"' / N Sewage Permit
N -4
90A-a.--#/j)- Plans Received
Plans Checked
Plans Returned
/ Plans Picked Up
i (.1,55C''
Plans Mailed
SOUTH
I hereby ce ify informmat"on ubm"tted is correct and there are no other structures located on this property except
as shown. f th i /.6G'4C = .1 c.?tr- r7l/'
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
�,�
4
yo, //0 -O .7- The zone is if- 7'
street address will be C_
Sewage Permit Number Issued Building Permit lj Q� Receipt-el ifriir Issued
Remarks --=- w.
iv_� -
Form 523 Bldg. Code