1974, 06-04 Permit App K4799 Residence, GarageGENERAL REQUIREMENTS
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 i 6D
APPLICATION FOR LAND USE OR STRUCTURE PERMIT'4.b
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.
Name of Owner
Architect
Engineer p Address Phone
Contractor '��4.[l.J C..4c/ l Address ( 4'; Phone
Legal Description of Property (Give com Iete description from deed, tax receipt, etc) .a4-C9L4t/.. q,j
/Al 44 �O .. AA"; G+ n R. SAC > 'T//, S5. 89 ° ‹57 `.c..4 G. N, L/,u,
r> r P3P a4D uct�4 V cif _" All
Oi 57AijiFJ - i 3u a 70 -TO TRU.R POli: .ETC
APPLICANT FILL IN BELOW THIS LINE /(J
7
= g9
.%z. o3
Address - / �� %��- �i-ffs-tt e�C JO-41_ Phone —
Address Phoney H `6 7 7 1
DESCRIPTION OF WORK: New _ X Addition Remodel
Size of Lot /.!J li A:19
i
Stories Dimensions
Moving Bldg. Zone Z FireiZonoi%f
Sewage System Const
(Fr., Conc., Br., etc.)0u
gX7� 8X�? Total Sq Ft4'1`2121$ Valuation 34°642
Baths2-y Basement Foundat
ull, part, none �
ion Const Chimney Fir place
Rooms
(Kind) (Nun)ber
Heat. System Tye of Roofing � Ext. Finish .4-4-'" .crt`-' Int. Wall Finish
Use of Bldg. No. of Units _Bedrooms
PLOT PLAN
i
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.
m
N
NORTH
PROF195 D
SOUTH
State License No.�T
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. 9
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
�iYU
DO NOT WRITE BELOW THIS LINE
Your street address will be e /441. 3 A 3i -LL.(�f(�Il�l The zone is(� �(Atli/?I
Sewage Permit Number Issued Buildi g Permit Receipt _ eZ _, Isd
Remarks
'%/fr. 4. 13 .e-a i- L. - / / O 7 3 aeote__ — (1,4t.Lrz)(- aj..Z .: ' c e,3 Fi y
Form 523 Bldg. Code