1978, 06-20 Permit App: M6862 Additiono ®,
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /.3/.6°
GENERAL REQUIREMENTS 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 onwater 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 47235.
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.
APPLICANT FILL IN BELOW THIS LINE��),611/2_444,1-4
�9427 '
Name of Owner //./.�. + w.. Address O D 9 11 ,r P.d d1 -P Phone
Architect Address Phone
Engineer xx Address Phone
Contractor X1-4-4,444 -' Address ''P/hone -
Legal Description of Property (Give complete description from deed, tax receipt. etc.) Parcel Number /2-5-4/—, v/7
tCT7 9 se- )4C_ . 5 , ///.e- / —
.C.DT /d
DESCRIPTION OF WORK: New Addition
Size of. Lot .:2116 X2SZ)
'
Remodel
Moving B dg. Zone _/ Fire 7/ ne
Sewage System fCConst.lY[2.P
IFr., Conc., Br, etc.) /J D
Stories / Dimensions
Rooms � Bp}ha � _ Pd�l -t / /V,4 /V A
w�0 X �.1
Total Sq Ft */f 0D Valuation J d d D
Basement Foundation Const Chimney Fire lace
(Full, part, none /J /� /J � � (Kind) (Nu'n er
Type of Roofi n!1 .i.(R /44
Finis 1-�IX.!.LY Int Wall Finish �i �f'f/ '/Y•d
Heat. Syste n F sh -�A
Use of Bldg. ��d 1zd ././ A.ti a-G�GU - 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 sewage sys-
tem and water supply lines. !'
eco P/.
NORTH
i
7SAPPIA) CI
SOUTH
I hereby certify informat n submitted is correct and there
as shown. `/( .,,j 0
State License No.
- Ind. Ins. Acct. No.
(RESIDENTIAL—COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit i
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Malted
are no other structures located on this property except
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
Your street address will be
Sewage Permit Number
Remarks
Issued
Building Perini
The zone is
Receipt 442-Z9 Issued
Form 523 Bldg. Code