1976, 12-29 Permit App: L6609 AdditionClinty of Spokane, Wasagton
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 s ructure of any
kind or alter any building or structure already erected, or to change a land use. Construction must conform •ith 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.
Name of Owner
Architect
Engineer
APPLICANT FILL IN BELOW THIS LINE
92,2/
Address e e /,,3 20/ c "/A?7/10 Phone 9d 4i 4 0 0
Address Phone
Address Phone
Contractor Address Phone
095e —a>s7
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lc* S— "UR — 1, rVez,uC1Cfzfr2 �.e& 0.441--%
DESCRIPTION OF WORK: New ' , Addition Remodel Moving BIN. Zone FireZ one lJ
Q Sewage SystemConst
s/, q,C��p-may
Size of Lot Q X ���/� c (Fr., Con,_.,, Br. t etc., �Zj
Stories /� Dimensions �'7 JC 7 t% / Total Sq Ft y� U Valuation -�j ?)OC
Rooms Baths / Basement Foundation Const. Chimney Firepl ce
(Full, part, nonce— (Kind) (Number
Heat. SystemType of Roofing e Ext Finish Int Wall Finish
/Use of Bldg. (11
.Q.C7E --S ° ..,s, i— No of Units _ Bedrooms .4-2--r
PLOT PLAN /� C cC c enm -G-a
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;.(3) location cf 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
RESIDENTIAL - COMMERCIAL
gait Amat-
In ,%
State License No.
O - K -
Ind. Ins. Arct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Rec ved
Plans Che ked
Plans Retu ed
Plans Picked p
Plans Mailed
SOUTH
ion submitted is correct and there are no other structures located on this property except
7,2 2 —7 ,6
Owlie o Agent Date
A ' USE OR STRU TORE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
tx42 The zone is L. r
Building Permit LG 0 Receipt .C124" I ed
- Form 523 Bldg. Code