1976, 03-17 Permit App: L2995 AdditionCitify of Spokane. Wasiagfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT � c19
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 enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LICE , c;,
Name of Owner _iiI ��i Address sAIRMEWAPir Phone
Architect Address Phone
Address Phone
Address Phone
Engineer
Contractor
Legal scription of Property (Give complete ription fro deed, ax rec ipt /etc )
4047' Agt3
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot 1-27 /X7,30
Stories _.[_Dimensions t-'2.KLT
Rooms Baths Basement Foundation Const.
(Full, part, none)
Type of Roofing„it,
Heat. System
Use of 131.0
Moving Bldg. Z ne / Fire Zone
Sewage System ---1� -Const.
C c. ., etc.I4
Total Sq. Ft /7-a- Valuation %”' s ./5-07)
Chimney Fireplace
(Kind) (Number
Int. Wall Finish
No. of Units _ Bedrooms
xt. Fini
PLOT PLAN
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.
IAL — COMMERCIAL
I hereby cert
as shown.
SOUTH
y information sub ted is correct and there are
St e License No. et),
,� �No .
no. Ins. cct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures
Own r Agent Date
•
A LAND USE OR S UCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
located on this property except
e-/; 76
Tour street address will be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
i
/ 7J
Issued
Building Perm
The zone is
Receipt (T&
Form 523 Blda. Code