1977, 07-25 Permit App: M2525 AdditionCounty 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.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET -BACK FROM PROPERTY LINES. In yard,
most zones
sided saunder most circumstances, a set -back from the front property line, of at
least 25' is required, a 5' side 15'yard from a flanking street, and a 25' rear
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained yard are required.
and egress. pertaining to set -back and ingress
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
6c
Name of Owner
Architect //i1,0r.',7 /4../ df•A F T7/V6
Engineer --
Contractor '/ r ' fT. .
G'-" - b4' € 1 4 / /V
Address 7? 0-5 L= (; /a S Phone 9•1 -3-9 47
Address L~' `,,3-•o Y --/51-
Address Phone
Address / L- / one
Legal Descriptiqn of Pr perty (Give complete d s ption from 4dee , tax receipt, etc.) P
( �� -, C -•-e 4/(2 '.P. ��[p jS-
DESCRIPTION OF WORK: New Addition ,/< Remodel Moving Bldg. Zone ___J____ Fire Zone
Size of Lot 75,x /_5 '; Sewage Systen tp? - 7 4/d lbonst F�-,�.ir. f
� (Fr., Con�ci.,,J Br., etc.)
Storiyts jLpimens s ��l / /6 )(/9 Total Sq. Ft , /� Valuatioh /! C��'G
R f Baths .. Basement C' r Foundation Const (',0 n: c p e .71-�-' Chimney
,,,part, none Fireplace
Phone
(Kind) (Number
He . S temL= /r•c t/t D fy 9 l u�l Ext.. nish�7FCri 5/ A�; es Int. WaII Fini h 7 Dey (4//A %� p
e of Idg. S / A) C� k /—d /7r / /y d i,,, e �/J yi. No. of Unit Bedrooms /) / ei t7 //il
r / / /3 d
(1) property nes; (2) street or road locations (3) location of ti
PLO PLAN
Draw sketch with dimensions showing:existing and
proposed buildings; (4) distance to property line an streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH 9,(T\
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State Li ease No.
Ino, ns, t. No.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
in Heating Permit
Ih Sewage Permit
YJ Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and th(/ are no other structures located o this property except
as shown.
—
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 BELQW THIS LINE
Your street address will be G
Sewage Permit Number Issued wilding Permit Receipt
The zone isIs e_
Remarks
Learns 499 P1J.. ? ...L