1976, 10-19 Permit Ap: L5870 Addition, RemodelCarty of Spokane, Wash*gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT i q"
GENERAL REQUIREMENTS PERMIT FEE II //
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 gliatC
Name of Owner
Address � CJ 3 ii - Phone y el d q rt
Architect Address
Phone
Engineer `� ' Address Phone
Contractor Addressed,I��y(aaa as
Description of�roperty (Give complete description from deed, tax receipt etc 1 � �— /�%Y`-^z'�
g„4_44..- (2,,A.i ez-._../_- .07.0str, . .2 % S— ci.2 — 0 c/ (3�
DESCRIPTION OF WORK: New
Size of Lot
Addition Remodel
Stories__.Dimensions., () 1 �1,
Rooms _ Baths Basement
Full, part, none)
Heat. System Type of Roofing
Use of Bldg.
Moving Bldg. Zone Fire Z e 3
Sewage System Const. t ., r., etc.)
Total Sq Ft �� Valuational
Foundation Const -reChimney Fireplac
(Kind) (Number
Ext Finish Int Wall Finish
No of Units _ Bedrooms
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
�-n
property lines; ( ( e2) s set or road locat Sons; 3) lots 1opTof existing and
lines and streets; (5) dimensions of buildings; (6) locati7ifln of sewage sys-
RESIDENTIAL - COMMERCIAL
SOUTH
I hereby,p�yC1'fy ffformation submitt de is correct and
is shown/ r.
State License No.
Ind. Ina. Acct. No.
REQUIRED
Plumbing Permit --
rn Heating.Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there 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 Pezmit Number Issued
Remarks
0 3
A ---st __L
Building Jrmit S
The zone 1s
Receipt3 if I �ued
Form 523 Sick. Code