1975, 06-11 Permit App: L0464 AdditionCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
PERMIT FEE
GENERAL REQUIREMENTS
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
Name of Owne
Architect
R. Cd, 9,It £s 7,94'Y-! it
Engineer
Contractor
i4lE �ic�{?'51�
Address
Address
Address
Address
-411
c' C. rr g3
/0 15(3r.
Phone
Phone
Phone
Phone l
Legal Description of Property (Give complete description from deed, tax ret etc.)
�P. ex*- 1 -f -K D.
V- 9012,3
DESCRIPTION OF WORK: New
Size of Lot
Remodel Moving
Bldg. Zone / Fire Zone',.._.?
Sewage System it Pii 4-
Stories / Dimensions
Rooms o2 Baths C) FoundationBasement Const.
(Full, part, none
Heat. System2F�'s'�!c—fi
Type f RoongC !.
Use of Bldg. s17/ 1 /1
0onst. /-/QArbi £—
Fr., Conc., Br., etc.)
ChiTotal Sq. Ft. z �� fee ("*7(--)nney l! Fireplace v
(Kind) Valuation fee
Int, Wall Finish PGS" --1---
No. of Units _ Bedrboms
t. Finish1
�C �v � 2
PLOT PLAN
sketch with dimensions showing: (1) property lines; (2) street or road locations;
ed buildings; (4) distance to property lines avid streets; (5) dimensions of buildings;
em and water supply lines.
u'
N O T H [' 7 g.
I herebyrt' y infor
as shown.
SOUTH
itted is correct and there
are
3)
(6)
ocation of existing and
location of sewage sys-
State Licen e No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit \1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures
located on this property except
Owner o gent 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 LIN
Your street address will be
Sewage Permit Number
Remarks
le zone is r '
tied Building Permit , / , ••ceipt ?7:V.7 Issued
Form 523 Bldg. Code