1975, 04-09 Permit App: K7172 Add to ResidenceCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LUSE OR STRUCTURE PEM
RIT
GENERAL REQU'IRE'MENTS AND 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 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 >
Address
Phone 2.:31'-/
Name of OwnerI? f. •-�-._� /'Y-cC �-=���->-y._;
Architect Address Phone
Engineer
Contractor
Address Phone
Address `P'hoa-Q
Legal D cri tion of P<!opert (Gi a omplete desgri tion r m deed, tax rec t, etc) �S
DESCRIPTION OF WORK: New G
Size of Lot , ,C y, �9
Addition "J Remodel
Moving BI
Sewage System
-3
Fire Zone
Fr St.
` L ,2 _ C�Conc., Br., etc.)
Stories Dimensions -r�" -.7.7.-i' CG �1 � Total Sq. Ft./ -5- � Valuation�tj a� C�
Room - Baths �'— �_=.-f_,r-���' ."
Basement Foundation Const Chimney Fire• ce
(Full, part, none) (--).,
(Kind) (Number
Heat. System ype of Roofing` �� �- //
Ext. Finish Int. Wall Finish
Use of Bldg.
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem astet s pply lines.
- 4
NORTH
No. of Units _ Bedroo
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
SOUTH
State License o.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rrr Heating Permit
NSewage Permit
- 4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby c rjy informati n sub-m/itted'Jis//correct ndi l th a are no other structures located on this property except
as shown. ' }{G ✓�/ � L �_ �� s
// Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
QDO NOT WRITE BELOW THIS LINE
Your street address will be Jr- / V �_ ._w The zone1t9lsiw '�` '2_�[
/ wage Permit Number Issued Building Permit rj� fi Receipt.,_ �1__sy'Issued
t Remarks ���
Form 523 Bldg. Code
I.4arry I._ (:mtsch.aJIL
Architect
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