1976, 08-23 Permit App: L5180 Addition0
County 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 most 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 9y2^/6
Name of Owner / " .'" _
.17),. Address -'
Architect Address Phone
Engineer r Address Phone
Contractor Address Phone / /_
Legal Description of Property (Give complete desc�riippj"on from deed, tax receipt etc ) 'VS 4 '? - 6 ? a <i Yl -1 /
qq
Phone ) c/. -(P-74 (74
DESCRIPTION OF WORK: New Addition
Size of Lot ./70 ! 7C// N2x
Remodel
Moving Bldg. Zone 1
Sewage System Const.
(Fr., Conc., Br., etc.)
Total Sq Ft )i-' ' Valuation•
Fireplace
(Kind) (Number
Int Wall Finish
No of Units _Bedrooms
f-7 -nyJa. r ems- • X20-
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
Stories Dimensions G' -' P - EQ'
Rooms _BathsBasement
—Trail, part, none
Heat. System
Use of Bldg. B'
c X 20
— Foundation Const
Type of Roofing 0
Fire Zone
tiia- cse.-- "
Chimney
xt Finish f 1
Draw sketch with dimensions -sh
proposed buildings; (4) distance to property
tem and water supply lines.
m
N
N
NORTH
PLOT PLAN
RESIDENTIAL - COMMERCIAL
it
LS�Il{HU
State License No.
REQUIRED
Plumbing Permit
Q w Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify n ,gutjmitted is correct and there are no other structures located on this property except
as shown.
A LAND USE
THIS IS NOT
Urn_ or Ageni / Date
RUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
ERMIT.
DO NOT WRITE BELOW THIS LINE
I-7
Your street address w111 be
Sewage Permit Number
/fr. a-/ -Crit,- yn
Issued Building Permit tip
The zone is
Receipt % sued
Remarks -
Form 523 Eldo. Code