1973, 08-21 Permit App K2558 Addition•
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /(-1GENERAL REQUIREMENTS
PERMIT FEE
ect a
PERM
IT oEflaltland use or s
tprscby
ucty Resolution to
lnerbuilding structure te
kind eranybuldingorstrucurealeadyereted, ortohangealand use. Constructionmust conform with h
Spokane
County Building Code and Zoning Ordinance. Construction is subject to inspection.
e
WATER. surface, be
County Roadsthe , permissionand State ealth must bepobtained fromrtheork on Countyater Engineer'stOfficeisturbs
he
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
Sleast 25'5 FROM quaLINES.
5' side yard,zones
15' side yardrfrom acircumstances,
street,set-back
25' rearthe
yard areproperty
requiredline, of at
Aisrequired,
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
C
performeddOinSn accordanceswithtstakes.oPaints of ay may ingressperformed
egressntil muststaked
approved byCounty
theRoad
Co Department
Engineer. d work must be
performed
MOVING OF BUILDING6. 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.
which lareVenforcce ble Builders
Ccheck ountysions of Officialsocanants or not bringdactionntoand enforcenents covenantslng with the land
or dedications.
APPLICANT FILL IN BELOW THIS LINE „xLiaefrig 9 9c2/?
t%� Jan .w .� r �.!/IOJb c1�L�K•� Address e. ,Y e_ Phone W A— -8CJ 8 7
Engineer Phone
Phone �l
etc.) '7 9//7
Name of Owne
Architect ' Phone
Contractor.
Legal Description
/V. /6-6
ellA Property (G' e complet description from deed, to receipt
DESCRIPTION OF WORK: New,— Addition
Size of I4t / G
Const. Dimensions
(Frame, concrete, brick, etc.)
Baths ~-- Basement .i Foundation
1 (Full, part, none)
Heat. System `ry7/1�d� / q_., Type of Roofing Ext. Finish - Use of Bldg. G /'" "' 2
Rooms
Address
Garage or Carport Attached N� .-
u�GL
G,x39'
Remodel
Const
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.
Moving
Bldg. Zone / Fire Zone
Sewage System �C 4 iA. d� Stories / 0
Total Sq. Ft. 4 3 Valuation %5 a O
Chimne��� Fireplace /
(Kind) (Number)
Int. Wall Finish
No. of Units Bedrooms
Private Detatched
m
N
NOR
Xr) AVE'.
FRDPoa ED ADD.
R=;sIo4NC
as s
•fy i of or
Owner or Agent
A LAND USE OR STRUCTURE PER
THIS IS NOT A PERMIT.
SOUTH
bmitted
correct
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
1
- / - 7
Date
UST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be / / Sewage Permit Permit Number
Remarks
e zone isadpi
Receipt 4 96> Issued
Form 523 Bldg. Code