1974, 05-07 Permit App K4511 Residence, GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 �Z
--APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
PERMIT FEE
indlToEQaltlistructure
a srequired yucResolution erect
building
structure
the
kdrter any bulding orstructurelreadyerected, ortohangealand use. Cotructionmust conform with
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
the surface, be
County Roadsthe , permissionand State ealth must bepobtained fromre theork on Countyater Engineer'stOfficeisturbs
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
leastAt 25'FisMrequired, LINES. In most
side zones and
side yardrmost from acflankingnces, a street,sandback 25' rearthe
yardfront
areproperty
requiredline, of at
s
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must and egress.
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.
s
which lareVenforce enforceable Buildersld check
Countysions of Officialsocanants or not bringdactionntoand enforcepents covenantsing with the land
or dedications.
APPLICANTFILL IN BELOW THIS LINE
�
eg-C,,../. Address c3 <96_2 ' /y/l �J Phone /-Jr9 �� - 4Z'
Name of Owner v Phone
Architect Address
Phone
Engineer Phone l ��.9�� Qd
Contractor -�
Address
^��o - Address e?
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
DESCRIP •N OF WORK: New V Addition Remodel
!/ 2
Size of Lot
Stories
Rooms
Dimensi
Bathjy
Heat. System
Use of Bldg.
Baseme
Full, part, no
Type
7
Moving Bldg. Zone .—J— Fire Zone
Sewage System ,,..a Const. 77
(Fr., ., Br. tc.)
}ifs ].2 ref. Total Sq. Ft fk�aluation _
iefFoundation Const- Chimney K d) FireplacdiNumb J
Ext. Finish -Q,1 _ Int. Wall Finish
, Nib. of Units _ Bedroom
PLOT PLAN
retch with dimensions showing: (1) property lines; (2) street or roadations; (3) location of existing and
sed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
and water supply lines.
I her
as shown.
NORTH
ner or Agent
A L D USE OR STRUCTURE PERMIT MU
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number Issued
Remarks
and there are
State License .
d
Ind. Ins. Acct. o.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
Date
BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
/7
Building Permit
sir
e zone is
< )
Receipt '5,/ Istired
Form 523 Bldg. Code