1971, 11-29 Permit App: J1433 AdditionCOUnty of Spoka11e0 104l430,11i
BUILDIN CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201,
a
APPLICATION FQIt LAND USE OR STRUCTURE PERMIT
ERAI REQUIR ENTS PERMIT FEE
IT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of arty
and or alter any building or structure already erected, or to change a land use. Construction roust conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
'ATR. 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.
.26(0
'E�6i4 ,� f .r > _ gone 1 ___AL i'`3
Name of Owner L..rvi6ir - .��.�.�4�` "- Address
Architect l Phone Engineer Phone
Contractor ` /f Vie. Address Phone
Legal Descriptiorl9 of Property (Give complete description from deed, tax receipt, etc.
/OTS 3-1,1 ILK'_- fi'5 Sunlay aFI/1.
APPLICANT FILL IN BELOW THIS LINE
DESCRIPTION 0
Size o
Const.
/ORK : Ngw
X94
Dimensions
(Frame, concrete, brick, etc.)
Rooms / _ Baths Basement
(Full, part, none)
a �----
Addition k*-- Remodel _Moving Bld_t Zone Fire Zone
Sewage System .++ _ - St4ess ��
Total Sq. Ft. eze Valuatio
axl
Chimney Fireplace
(Kind) 1 (Nu m•er)
Int. Wall Finish
No. of Units Bedrooms
tched
Heat. System �. yc¢ <. Type*f :.ofitng ..00.011.441!...%
Use of Bldg. Fa +;p i .I, ,„ Alis.,,,, %1...rae,
or Carport Attached
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location
offf existingsand
an
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6)
tem and water supply lines.
Private De
I hereby c^rtify infor
as shown.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed -
SOUTH
subed is correct and there are no other structures located on this property except
/-029-7
urn ' 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 BELOW TH
Your s
Sewage Perm
Remarks
Issued
Bldg. Code