1973, 04-17 Permit App K1291 Add to Kitchen•
which are enforceable through civil action. County Officials can not
Name of Owners��
Architect
Contractor
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE. WASHINGTON 99201
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
kind or alter any building or structure already erected, or to change a land use. Construction must
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 OP 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
bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
structure of any
conform with the
q q alertt
Address jam(I .`��� i_.s� Phone 4164--7r30�.;�
Phone Engineer Phone
Phone
Address
Legal Description of Property (Give complete descriptio from deed, tax receipt,
,C' 7.5i' W, .,<a i , y 3 ' N TWAT
DESCRIPTION OF WORK: New Addition X Remodel
Size of kof 74 -Vac) /
Consl,,J-+C(A1,15L- 7 x R
Dimensions
(Frame, concrete, brick, etc.)
Rooms_/ Baths — Basement Foundation Const
TT (Full, part, none)
Heat. System . 1Z-1 Type of Roofino "
Use of Bldg. '1..}--il/,« T
Garage or Carport Attached 1" _�-
Moving Bld . Zone / Fire Zone
Sewage System Stories �T
Total Sq. Ft. v nation # 9-5
Ext. Finish C�
Chimney Fireplace
(Kind) Q (Nu ber,)I
�
Int. Wall Finish �1--1- f�_ 4
No. of Units Bedrooms
Private Detatched
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.
NOR
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e,4u w, J
PRoPAnD°
Ek,3 r,Nt
IPi. I57) 4
GARAGE,
I her
as shown.
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
en Heating Permit
NSewage Permit
SOUTH
)ertify�informati%% on s Imitted is correct and there are no other
^r
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
Plans Received
Plans Checked L—
Plans Returned L-
Plans Picked Up
Plans Mailed
structures located on this
DO NOT WRITE BELOW THIS LINE
property except
7-73
Date
CONSTRUCTION COMMENCES.
Your street address will be_g‘,
Sewage Permit Number Issued
Remarks
14-d-11-dirtAia. The zone is ( -L-W t;‘,._ s2y�C .,
Building Permit
�91
f Receipt .�/ 7� Issued
X
Form 523 Bldg. Code