HomeMy WebLinkAbout1974, 11-21 Permit App K6318 Utility BldgCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE EPMRMI
T
GENERAL REQUIREMENTS
IT FEE
PERMIT rEQaIter. A lbuilding ors structure permit leadysrequired erected, ory touchangety sallandnto use.erConstructionnmust structure of
the
kind or alternany il u
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water, supply must be
County Roads, permissionand State mustbepobtained fromre theork on Countyater Engineer'stOfficeisturbs
the surface, shoulders
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
Sleast CK25' sM PROPERTY LINES.' side zones
side yadrdrfrom aost cflankingnces, a street,sandba 25'k from yardont areproperty requiredline, of at
Ais Where
required, clearance must be obtained pertaining to set -back and ingress
STATE HIGHWAYS. Where the structure abuts a State Highway,
and egress.
COUNTYfr ROADS.icordancestreet
stakes. Points of ingressperformed
egressnmuststaked
approved byCounty
theRoad
Co tyrEngineer. t and work must be
MOVING in accordance
MOVING OF BUILDN�ustAbeeobtainedrfromrthetCounty Engineerland/orbuilding.
State Highwaybuilding
Department,moved on a County or State
Highway, clearance
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE the land
iCOVENANTS.
throughBuilders
civiluaction kCountysions Officialscovenants
not bringdedications
toand
enfor, ment c runningor dedications.
which are enforceable
(Jr
APPLICANT FILL IN BELOW THIS Li E
Name of Owner
J•
Architect
Engineer
Contractor �� P
Legal/Description of Propert
Address
Address
Address
Address
Phone
Phone
Phone
Phone
ve complete de Rion from deed, tax ceipt. etc.) gggefraym
Mi r
Addition Remodel _ Moving Bldg. Zone
DESCRIPTION�OF WORK: (�,�w Const
0C� / Sewage System - (Fr., Co8r., et
Size of Lot �' � d "�"
X Total Sq. Ft. ? ,-4 �! Valua n
Stories / Dimensions w7 Z2-Chimney Fireplace
(Number
Foundation Cons y (Kind) (Number
Rooms o[s -Baths ull, Basementri
Ext. Finish Int. Wall Finish
Heat. System
Use of Bldg.
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 propery lines and streets; (5) dimensions of
buildings; (6) location of sewage sys-
tem and water supply lines.
No. of Units _Bedrooms
(D
/2.
ir► ,G,]l-L
S
•
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH 3 �JZi
I hereby certify informati n sub itted is correct and there are no other structures located on this property except
as shown.
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
ner or Agent
DO NOT WRITE BELOW THIS LINE
Your street address will be / 7 .f/ �_Ci� a zone is
j
Sewage Permit Number Issued Building Permit rat Receipt% Issued/,�
Remarks
Form 523 Bldg. Co