1975, 06-24 Permit App: L0635 Additions
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
(� APPLICATION FOR LAND USE OR STRUCTURE PERMIT ora
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 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 en orce ovennts or dedications.
Name of Ownar. d
Architect
Engineer
Contractor
APPLICANT FILL IN BE12;W THIS LINE
Otic)
Address
Address
Address
Address
Phone !^Rl' Ort.
Phone
Phone
Phone
Legal ascription of Property e complete dessription from d ax recer t etc
"Pt- /7 <cPi�.
DESCRIPTION OF WORK: New
Size of Lot 7rX/yCtJ
Stories .L_ Dimensions
Rooms ,-' Baths
Heat. System
Use of Bldg.
.� Addition
Remode I
Moving Bldg. Zone / Fire
Sewage System ittt'+O ) Const
Stories
1 F
�
f '�... Br.. etc.) ay
ci O (/-3t( Total Sq Ft 74 0 Value ionNolt°
Th
Basement414-
s Foundation Con . Chimney Fire 'lace�2�jz2�
part, nonb)" Kmd) i umN Type of Roofing 1 iw,. — Ext Fi y sh Int Wall Finish
�,,ai. , �•- _ irus,� No of Units_ Bedr.' ms
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem anwater supply lines.
property lines; (2) street or road locations; (3) location of existing and
lines and str.a, dimensions of buildings; (6) location of sewage sys-
SOUTH
I hereby certifyjnformation submitted 1s
as shown.
correct and
State Li se No.
Ind. Ins. Acct. No. '
RRED
Plumbing Permit OAS -2
nr Heating Perna Ph 14, d�
Sewage Permit
ti
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
ner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRIT ELOW THIS LINE
Tour street address will be
Sewage Permit Number _ Issue' Building Permit
Remarks
The zone 1- -
Receipt P7,2,
Form 523 Bldg. Code