1977, 02-22 Permit App: L7057 AdditionGENERAL
Canty of Spokane, Wash*gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 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.
APPLICANT FILL IN BELOW THIS LINE
996
Name of Owner
Architect
Engineer
Contractor
Address
Address Phone
Address Phone -.
Address Phone
hone9.24-- 4770
Legal Description of Property (Give complete description from deed, tax receipt etc )
i/S'Y3—/9513
LU /60' 5 N //D' 6-1
94 N /S' /S' ECa{ • G'
DESCRIPTION OF WORK: New ,
Size of Lot j �X X90
Stories 1/ Dimensions
Rooms Baths
}}j►
(Ful
Heat. System .f�/__
77f 37, 1/4,69 , .eX c id) -'o ' 77) e.ea,f
Addition
XRemodel Moving BI g. Zone Fire Zine
Sewage System CF
/—/ �7 nst
/ °C/Xa % �^^Total Sq Ft ✓(O / 1lValuation
Foundation Const. ir�ittA-tai Chimney Fireplace
LU6lt4,Li�, l ndl / (Num
IL Qa Ext. Finish L Wall Finish
No of Units _ Bedr8 ms
Use of Bldg.
Basement
perm none
Type of Roofing
is2-7U
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.
NORTH
RESIDENTIAL — OMMERCIAL
SOUTH
I hereby cerxifiy information submitted
as shown.
is correct
and there are
SState)Apie No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located
Owner or Agent tate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
on this property except
Your street address will be
Sewage Permit Number Issued
Remarks
3—arcR MI Si --euiLert
Building Permit
The zone is
L Receipt
Issued
Form 523 Bldg. Code •