1977, 03-10 Permit App: L7419 StorageCitify of Spokane, Wash%gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 most conform ■Ith 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 it.2044
Name of Owner $urtl'e%jurne7T Address r -
Phone W4650.S2
Architect Address Phone
Engineer Address Phone
Contractor ..5-4134.e._ Address Phone
Legal Description of Property (Give complete description from deed. tax receipt etc ) .9n.. --epi- ./6 6-4".7--- 656-.7..C.-
0 Pienri-c.c_m if/ ADD
5V5.2LS
0PPoi4ctsiW/ADD WIGS` «ga/Js'' 7 S/3G' 4/33Z—
DESCRIPTION OF WORK: New _.L Addition
Size of Lot /os x !
Stories / Dimesions o X/,.2r
Rooms 1 Baths Basementy' OL4t_ Foundation Const..
,w UHL--
1, part, noney,
Heat. System Yl V •1-�€— Type of Roofing Ext Finish / f 1/
Use of Bldg. S7LV/7e- BheQ . (VLO Ce-nwvtevr,#I LtS'C
Remodel
Moving BI Zona Fire ne v
Sewage System onst.
(Fr„ Consryqtefi ., p
Valuatiodv^e� 7
Total
1:1 -
Sq. Ft.
��� Chimney ��Fireplace nO�e
(Kind) (Number
Int Wall Finish WO'S.
No of Units _ Bedrooms 14GI.=
I �nR (1
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2). street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
NORTH RESIDENTIAL COMMERCIAL
I hereby certif infor
as shown.
SOUTH
(3) location of existing and
(6) location of sewage sys-
State License No. ea
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Recei ed
Plans Chec ed
Plans Retur
Plans Picked Up
Plans Mailed
tion submitted is correct and there are no other structures locateon this property except
Owner or Agent Date
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
Your street address will be
Sewage Permit Number Issued __ Building Perini
Remarks
The zone 1s
Receipt
Issued
Form 523 Bldg. Code