1977, 10-07 Permit App: M3684 Addition• •
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 must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
MATER. Water supply must be approved by the County and State Health Departments. Where ■ork 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 thestructure 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.
,PPLICANT FILL IN BE • W THIS LIN
Name of Owner sof /,. t / / ea S..a.s Address e AL, l Phone 9 acl-16147
Architect Address Phone
Engineer Address Phone
99a 06.
Contractor _/easyr)
Legal ascription of Property (Gives late desaip on from deed
-/,/10Lyor
Address Phone
ceipt, et .) P I Nu ber i7 Rss//— c2/07‘
1744 c.t c/
c 7s - /
DESCRIPTION OF WORK: New Addition
Size of Lot 7C' X /5/p
Stories / Dimensions /1 x -Z SG
Rooms _L Baths /�/ 17`', art, no
�ru�1, part, none
Heat. System�4 Type of Roofing
Use of Bldg. //,�' .it'
Remodel
Moving
Sewage
Bldg. Zone / Fire ne `a '
System 4//9 ons CfA+,-i-�
Fr.uation, r.,9 Betc.)Ov
�✓A.(md) val
Chimney/ -t_ Fireplace
1Num��
ber
Int Wall Finish /
0 of Units_Bedr6Oms NOt
��
Total Sq Ft
Foundation Consti��?N/
I
Ext Finish
PLOT ALAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
-I
ti--) 7s/
I
as show
Owner or Agen
A LAND USE OR STRUCT RE PERMIT M
THIS IS NOT A PERMIT.
• State License No.
Ind. Ins. Acct. No.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
rect and there are norother structures located on this property except
0
Date
ST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE *OW THIS LINE
Tour street address will be /757/1/4)
Sewage Permit Number Issued
Remarks n �,
Building Permit
The zone 1s
`"'G Receipt 033
GG
I
ed
Form 523 Bldg. Code