1975, 06-27 Permit App: L0761 Cooler AdditionCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
7
ti
*POENERAL 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.
ESTRICTIVE COVENANTS. Builders should eck provisions of covenants or dedications and easements running with the land
whjh are jgforces thrpugh .1 acti . County Officials can not bring action to enforce covenants or dedications.
LICANT FILL IN BELOW THIS LIN
ame of Owneris L� /` ///'w�. Address
Architect ���� ����..r0�yc�� Address Phone
1'6
gineer Address (i: Phone
ontractor Address r'-°. ,S7/ :42- err �A .Phone (7. - l 2---1:--3
Leg.I D ription of Propert Give complete description from deed, tax recei etc.)
--7/-ems_° L 'o.s9 — 21 7
honeL-53V 317X
1
DE RIPTION OF WORK: New ' Addition Remodel Moving Bldg. Zpne _......il Fire Zone
Size of Lo
I/1
Sewage Systen • . nst
Fr., on Br., etc.) oe
Stories Dimensions ` S /),/ l5 r 1� 7C / / Total Sq. Ft 7 _ Valuation
Rooms BathgV- Basement Foundation CoChimney ireplaceQnst n --r < _ (Kind) (Number
�! FC
Ext. Finishl & Int. Wall FinisheJ ,
No. of Units Bedrooms
(Full, part, none)
Heat. Systenk- -v-71 -0 - Type of Roofing
Use of Bldg.
PLOT PLA
sketch with dimensions showing: (1) property lines; street or road locations; (3) location of existing and
ed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
e and water supply lines.
m
I h reby ti y informa ion submitte correct and,thes' are no other structures located 0
as shown. j ��
Owner or Agent Date �H
A LAND\USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION
THIS IS NOT A PERMIT.
NORTH/
1?/w EAS E /T
State License No.
3-6/ -mss ter;
Vnd. Inc. Acct. No.
/6---a0 - 7S -
REQUIRE
Plumbing Permit
m Heating Permit
Sewage Permit
SOUTH
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
4,?»
ans Mailed
ro.erty except
DO NOT WRITE BELOW THIS LINE
COMMENCES.
Tour street address will be
Sewage Permit N ber
Remarks
i
ued
//
Building Per t )76'
The zone
Receipt
1/%
I
ued
Form 523 Bldg. Code - 7og
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