1976, 04-13 Permit App: L3362 Addition-frAvs. •
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Clnfy CO Spokane, 1011FCCA1111001i
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ri) j
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an/
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 LINE gk26
Name of Owner c'i 1,.1
Architect
Engineer
Contractor
Address ,57/7 4e2 Phone
Address ()rein Phone
Address Phone
Address
Legal Description of Property (Give complete description from deed, tax receipt, etc )
- hone
QGJ�.r.�.r 1 P
I, �xJu,'. 3S j., ( -/007
LiLt gee -ch % O
DESCRIPTION OF WORK: New ___X___ Remodel
Size of Lot 16- A `Q 1
Stories Dimensio s )0 '.'y/ ' /
/
Rooms Baths i Basement n,�1(! Foundation Const e- A ,_p -e-
F 1, part, none-)
Heat. System CX.ett . • Type of Roofing /► J Ext. Finish "1 `/1
Use of Bldg. LL(L /'Lt.�L', I;ti w V myvc�y ' i 1 -- /
Moving BId. Zone
Sewage System
Total Sq. Ft —
Fire Zoom
�y+onst.
(Fr., Conc :r., etc.) 0®
Valuatio
Chimney Fireplace
(K nd) (Num.er,
Int. Wall Finish ifOl.
No. of Units_ Bedroo s
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 *maistreets; imensions of buildings; (6) location of sewage sys-
tem and water supply lines.
RESIDENTIAL =GZOMMERCIAL
O
041
Ib
NORTH
8 rp 9-Yn- to (
SOUTH
I hereby ce ify info t �. su.witted is correct
as shown. - 1�
State License No.
Ind. Ins. Acct. No.
REQUI D
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structure
located on this p .perty except
Ower 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 THIS LINE
Your street address will be
Sewage Permit Number Issued Building Permit
Remarks L '
4-144411,
The zone is es/0 �`q t � �%b9 c CU •
2 Receipt c . 5 1 Issued
Form 523 Bldg. Code