1971, 09-07 Permit App: J0594 AdditionCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 >�y
APPL'CATION 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 mast 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 IU BELOW THIS LINE
Name of Owner .� z.,/ !� �,+ ,_Address
Architect - Phone Engineer
I
Contractor ��-
/1/1.44-C
(_
Legal Description of Property (Give complete description from deed, tax
I�-r�tf f�AG,�Pf Phone /r, 46..1
Phone
Address Phone
11/_3
receipt, etc.)
A1,4 v/- ked y. w z 0 x % _ L3 /c isT .cru.
DESCRIPTION OF WRK: New Addition
Size of Lo 7 AV /
Const --,1-74-7-244cL Dimensions
(Frame, concrete, brick, etc.)
Rooms
Heat. System
Use of Bldg.
Baths
Remodel Moving
Basement
(Full, part, none)
Type of Roofir)g
- - e 14,,
Garage or Carport Attached
Bldg. Zone
l
Sewage System
Total Sq. Ft. ICI -Led
Fire Zone --'
Stories /
Valuation
Foundation Const. Lid _,; '1 Chimney Fireplace
�% (Kind) `1 (Num er) QQ
Ext finish ... -Gl�� Int. Wall Finish /' H ' -a e
No. of Units
Bedrooms
Private i)etatched
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
aS ,
exisr/n/ .7-
aAR,4 r -E
SOUTH
I here certify information itte
as shown.
is correct and there
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this
property except
q- / - 7/
ner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFOPI CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO 0 WRITE BELOW THIS LIPIE
Your street address will be 92/
Sewage Permit Number Issued
Building Permit
Remarks
The zone is L14
/� Receipt 44',--5- Issued
C -7-7/
Form S71.-I-