1976, 09-29 Permit App: L5638 Finish BasementCounty of Spokane, Washington
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 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.
NZ' SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
I• S CK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
leas�t,ii-s��..r.equired, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYb:•-•bere,thestructure abuts a State Highway, clearance must be obtained pertaining to set -hack and ingress
and egress.
COUNTY ROADS. Work on street right-of-way may n'ot"I;C-,performed until staked by County Road Department and work must be
performed in accordance with stakes. points of ingress nn4 egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required_ to move an existin -.building. When a building is moved on a County or State
Highway, clearance must be obtained from the -County Engineer and/WP\State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a• Separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedicatl'Qns and easements running with. the 1sAd
which are enforceable through civil action. County Officials can not bring actio\to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE '`-.•
Name of Owner
Architect
Engineer
Contractor /� /
Legal Description of Property Give complete description from d, tax eceipt etc ) (/ ets-.-A O tC S `? / -- n 0 /
GAddress
Address
Address
Address
Cd
Phone ,5'-5--l` .57
Phone
Phone
Phone
1/
/1
DESCRIPTION OF WORK: New Addition
Size of Lot 7r 4_ /.s" -j
Stories
Dimensions
Rooms. 1 Baths
'Full, part, none
Type of Roofing 1F /!- Ext Finish
Heat. System N�/a-
Use of Bldg. %�i�4 / • �i �/-r,-w -
467-
Remodel
Moving Bldg. Zone
Sewage System Ay Q
Fire Zone 5
onst
Fr., Conc., Br , etc.)
q fi /t�I Total Sq Ft U Valuation t 2- oda
Basement Foundation Const
Chimney A- Fireplace / •/1-
( ind) /(Number
Int Wall Finish AI/A
'4
No of Units _Bedrooms
_�•
At,/a
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2), street or road locations; (3) location of
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) locati
tem and water supply lines.
NORTH
RESIDENTIAL - COMMERCIAL
I hereby
as shown.
SOUTH
fy information submitted is correct and there
existing and
State License No.
as o�—moi- �D---1C
Ind. Ins. Acct. No.
:may
3/ay
UIR
Plumbing Permit
wY Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on 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
Remarks
B
lding Permi
The zone 15_..44L/B //i4-7 / /'•Gq
Receipt -1 Z ed /
Form 523 Bldo. Code •