1972, 03-09 Permit App: J2108 AdditionCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 6
GENERAL REQUIREMENTS PERMIT FEE.. ......
g or
ki�ndlTorr alteranyanylbuilding orsstructurrepalreadyserected. or touchangety sallandnto use.erect a Constructionnstructure
use ortructure must conformwith the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
RATER. 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 !FI BELOW THIS LINE �D
Name of Owner Address phone r�/1{—{�=igl✓C1
Architect _ 67 Phone Engineer Phone
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
.t err g 011' fi!A-f- A MSS
DESCRIPTION OF WORK: New Addition /-�' Remodel Moving Bldg. Zone Fire Zone -
Size of I�pt f GQ k/�.�^� �`� Sewage System `� _ Stories � 4— f LV
Const.-i�-Ai►.t.(-C , Dimensions /9 �A' /� T Total Sq. Ft.'7' Valuation—
(Frame, concrete, brick, etc.)
Rooms Baths Basemen 0-2:A Foundation Const. Chimney " Fireplace
n r (Full, part, none) n (Kind) (Nu er)
.�.>
Heat.
Use of Bldg. ciLda
Garage or Carport Attached
_ Int. Wall Finish
No. of Units Bedrooms L_
Private Detatched
QPLOT 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.
rn
N
as
NORTH
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby �Gert ify information/submitted is correct and there are no other structures located on this property except
Ow or Agent Date
A LAND USE OR RUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will'be
Sewage Permit Number Issued
Remarks
Form 523 Bldg. Coda
DO NOT WRITE BELOW THIS LIME
The none 1�
Buildin �Peropi - Receipt�$�_ Issued -
I
� �
O �
4D
�c,
V�
u2
><
c"3
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby �Gert ify information/submitted is correct and there are no other structures located on this property except
Ow or Agent Date
A LAND USE OR RUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will'be
Sewage Permit Number Issued
Remarks
Form 523 Bldg. Coda
DO NOT WRITE BELOW THIS LIME
The none 1�
Buildin �Peropi - Receipt�$�_ Issued -