1976, 03-08 Permit Application: Family Room Addition Canty P of Spokane, Washni ton
9
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 992014.. . I?d Spee.404p.
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE d,..5-, /�
od
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a buildinr /uAeuiQ of any
kind or alter any building or structure already erected, or to change a land use. Construction m t 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.
LL,, APPLICANT FILL IN BELOW THIS LINE J0/ j6 /�
Name of Owner /t) -T� Address 7)• a/5— -n,a_, Phone 001 71f42—°
Architect Address Phone
Engineer Pi/144t7++ '�" � Address /� �1- Phone
Contractor (.471( & C -.. Address %Q 09 E,.9i./ � O 4. Phone '92-61`,/—U 0 5•2--'
Legal Dgscr pption c yroerty (Give cgSnplete descriptio from deed, tax receipt, etc.) �l � - I Ls i! �f 0 7
DESCRIPTION OF WORK: New Addition —Remodel Moving Bldg. Zon F c:p& Fire ne
Size of Lot /00 ' x /! .q• 5---0 a Sewage System %..„ onst.
FFr., Con Br., etc.)oa
Stories Dimensions /� Total Sq. Ft. 4 • Valuation
Rooms Baths Basement Foundation Const. Chimney •A a Fireplace
Full, part, non .J (Kr d) (Num_ernii
Heat. System / Type`�f Roof''ng d Ext. Finish c 4/I3 Int. Wall Finish A-77-X,X,
Use of Bldg. ti�ZC,11LUVry 0 /� 42. 1 44-0-7lh) No. of Units_Bedrooms
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 se.::e , -
tem and water supply lines. I
NORTH RESIDENTIAL — •SMMERCIAL State License No.
rot — 3 ,
9r-/
Ind. Ins. Acct. No.
Fxts+il REQUIRED
Ark_ t Plumbing Permit
m Heating Permit i
m
H Id/ H Sewage Permit
-+ te31 !'11�* / I /
Plans Received
y r k Plans Checked
Fx t1(k9 Plans Returned
i. • Z Plans Picked Up
Plans Mailed
SOUTH
I her by certify informs '.n bmitted is co ec and there ar• no other structure heated on this property except
as shown. s' , - `,
1 l , s1ii ' //Q 1 / �3 s
I-l er or Agent pate '
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
/ /& v-4t
Your street address will be -- , �/S r!�L The zone is LIP.
Sewage Permit Number Issued Building Permit LW/9 Receipt 0 b
Issued
Remarks
Form 523 Bldg. Code