1974, 04-05 Permit App K4133 AdditionCounty of SpGkane, 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 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��
Name of Owner L C .%:` P c. �� ddress � �� t-C,yPhone ,L '7 7 A5
Architect Phone Engineer JPhone
Contractor @ ( -L,,.r.6c1421- Address C' .-• phone 9 2 y
Description of Prop 4rty _(Give complete description from deed, t.aic receipt, etc
t=f'U� : �..
DESCRIPTION OF WORK: New
Size of Lot 0 X i c+ y.-
Const. o Dimensions
(Frame, concrete, brick, etc.) /}
Rooms0-
Baths Basement Foundation Const - l'L -f e Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System Type of Roofing Ext Finish Int. Wall Finish
Use of Bldg. LC (L_ � t�ci:jr . -41-4— L e, - v
arport Attached L-L-!-Dt_.l -FL-c �`� -"--7►4--6t"-'---.` /4--2 Private Detatched
•
PLOT PLAN ia,,A ajt...f.,:,` , --t
Draw sketch'with dimensions showing: (1) property lines; (2) street or road locations; (3) locati6h 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.
Addition
Remodel
5
int
NORTH)
13
/it
ay
G�c17�-r.
Moving Bldg. Zone / Fire Zone
Sewage System «— t' 'r; Storie f
Total Sq. Ft -3 `i g Valuation
SOUTH
I hereby certify infor ' tion1submitted is
as shown.
, fli
Owner r Ageht24
orient
No. of Units
Bedrooms
State License No.
Ind. Ins. Acct. No.
REQUIRED
/,
Plumbing Permit / i '` "o 1`-
1
Heating Permit -
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except
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
Your street address will be 1 .-,_4.1 4c 1-t
Sewage Permit Number 'Issued Building r,ermit�/i Receipt �E'*�
Remarks 1._cLti-i---, c 1 ..4._ t_a _.0 -�_ x t -� - _ ..e c >z 'y-- FL—(1_,C, 0 Alcc-,,_
Form 523 Bldg. Code