1972, 07-28 Permit App: J3893 Addition• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 4/
GENERAL REQUIREMENTS PERMIT FEE
kindkor alteranyanylbuildingase or orsstructure alreadyrmit serected, oruired y touchangeResolution
use.erect
Constructionbuilding
mast conformstructure
with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. grater 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.
Q G
APPLICANT FILL IN BELOW THIS LINE
Name of Owne ) ddress / ' . i� - �!� Phone WA" 4" "/a6
Architect Phone Engineer Phone
*1
.r/ emit did— 44d
Contractor
Legal Description of Property
5. 75_ / h. OT
Address
Phone
(Give complete descr ption from deed, tax
4000( 4, 140 PO -AL1 -44i
receipt, etc.)
.1 it
DESCRIPTION OF WORK: New
Size ofLgt 7'5X31/'
Const. drffl4vL( Dimensions
(Frame, concrete, brick, etc.)
Rooms__ Baths
Heat. System
Use of Bldg.
Addition L- Remodel
5'ss"'"A/1
Basement Foundation Const
(Full, part, none)
Type of Roofing
Moving Bldg,/ ZoneL Fire Zone -3Sewage System ?� Stories /
Total Sq. Ft. te) 6 Valuation 1-1,O
J� Chimney Fireplace
��11.U�fec-C-(Kind) X-1(Nn--`
E t. Finish Int. Wail Finish
No. of Units Bedrooms
Garage or Carport Attached
PLOT PLAN
Private Detatched
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.
NORTH
tel/
.EXL
ahRACbs
as sh
I hereby certify in .rmati
SOUTH
ubmit1:.,i correct and there are no other structures located on this property except
State License No.
4.40.--74/2,-1"
Ind.
,r --
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
11 Plans Returned
Plans Picked Up
Plans Mailed
Own r or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
7
DO NOT WRITE BELOW THIS LINE
Your street address will be /
Sewage Permit Number Issued
Remarks
Building Permit
e zone i
Receipt g 5-5, Issued
Form 523 Bldg. Code