1973, 10-09 Permit App: K3002 RemodelCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT � 149
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 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 47235.
SET -BACK PROM 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 OP BUILDINGS. A permit 1s 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 era enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner - .. d 1 - ddress
Architect y �
Phonen-FTgineer
��MA 44444. Address C.
Legal Description of Proper/ (Giv- complete description from
Contractor
/GJ Oa t0, .IFIL Phone 922-4487/r
Phone
y//e Phone/ m --55141a Q
fr'"05444 / - 0)707
/6 7/.4 sxgrFtr q ut
deed, to receipt, etc.)
DESCRIPTION OF WORK: New
Size of hot A.51& y
Const Dimensions
(Frame, concrete, brick, etc.)
Rooms_Baths '— Basement
(Full, part, none) j---PC-4--k
Os 'Ylf;tx
Type of Roofing Ext Finish
Heat System
Addition
Remodel X Moving Bid . Zone / Fire Zone -4
Sewage System Stories /
Total Sq Ft aluation 7 000 r/U
c:�h3.s-i, vt
Foundation Const C.OM�GFf6 Chimney 'Fireplace /n/ _ Int. Wall Finish N.N .(mi )
Use of Bldg. (+CAIIA,uf/[ .-7114-14.-7114-14-144.1-/ CfJ,cae,„- Lir A 40 .1 -al No. of Units Bedrooms
Garage of Carport Attnehedd// Private Detatched
PLOT PLAN
Draw,sketch with dimensions showing: (1) propertyin lines; (2);street or road locations; (3) location Iocatio of existing and
temDandtl?buildings; (4) distance to property lines and streets; (5) dimensions Of buildfnga; (6) location of sewage sys
tem and water supply lines.
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State License Na.
Ind. Ins. Acct. No.
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REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
on submitted 1s correct and there are no other structures located on this property except
AC tn.
ner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be 0020
Sewage Permit Number Issued
Remarks
e
zone Is
4444/ Issued X) 'J
Building Permceip
Form 523 91dg. Code