1977, 04-05 Permit App: M0458 AdditionCitify of Spdkaneg Washtgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT �7
GENERAL REQUIREMENTS PERMIT FEE �OCcfro
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
INE fi
Name of Owner -/N_, .40% -1 Address Phone
Architect /// Address Phone
Engineer Address Phone
Contractor �� Address Phone
Legal Description of Property (Give complete description from deed, tax receipt etc ) c.241.5 -44a — / a/ a
2 ,Y 77/1—
/92,/, ,c,o T 9 . 5 6--e“ 7 .Co7 / o ,64,K 3 7%� ,-0 '/ /t
DESCRIPTION OF W()'�'vr RK::, New Addition
Size of Lot /rlX /a h
Stories Dimensions o/c
Rooms _ Baths A//.a- Basement
(Full, part, nor
Heat. Systeme .6M Type of
Use of Bldg. C' Le—r-er —a --7l/
Draw sketch with dimensions
proposed buildings; (4) distance
tem and water supply lines.
X Remodel
74/A- Foundation Const
Moving
Sewage System
^^// 41-
// Total Sq
W�
Bldg. Zone / Fire Zone
',1?-lnlen onst. tLL�9q p-'
r/ �p (Fr., C c., Br., etc.)
Ft / ��?�/_Valuatio�f; 004 eo
Chimney Fireplace
(Number
dl (Num er
Int Wall Finish!inF!'.44/
No of Units _ Bedrooms 41-/A
Roofing M72-44-4 Ext Finish /ff- iti,<1.2,.4
c
Cyr nh-i ,1,74-4-57 ` tom
PLOT PLAN
showing: (1) property lines; (2) street or road locations; (3) location of existing and
to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
NORTH
SIDENTIAL_— OMMERCI AL
SOUTH
I hereby certify information submitted is cor act
and
as shown.
Owner or Agent
m
N
y
State License No.
4L'61 -t
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this
`//9777
Date
property except
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
�D '7
„¢uilding Permit
The zone's
Receipt c-te%t (t7issued
Form 523 Birk. Code.