1976, 04-26 Permit App: L3542 AdditionI
arty of Spokane. Wastngton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR. STRUCTURE PERMIT
60
GENERAL REQUIREMENTS - PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
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 ci
Name of Owner tcLLdP L/ Address 21.2-2-1 Phone 9,2N 0 7Y6
Architect Address
Engineer. Address
L
Contractor
sy-o6,
Address`
Legal ascription of Property IGive o��t description f omdeed, tax receipt etc
_73
Phdne
Phone
Phone
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire Z
Size of Lot Sewage Systemonst
(Fr., c c , Br., etc.)
Stories Dimensiions /?� /"/S Total Sq Ft,Valuat t* 0G•
Rcz Baths / BasementQ�oundation Const Chimney
(Kind) Fir:Place'NA
5S•� (Full, part, none) - ( umbN er /
Heat. System Type of Roofing Ex Finish/ Int Wall Finish �-•
Use of Bldg. - 7'. / ISL- ../4g? �i"� `-Q No of Units _ Bedr ms
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 and streets; (5) dimensions of buildings; (6) location of sewage sys
tem and water supply lines.
NORTH REST' ENTIAL -COMMERCIAL
I hereby ceiti
as shown.
y informs
State License No.
Ind. Ins. Acct. No.
REQUIRED 7
Plumbing Permit
rrs Heating Permit
ta Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
on slrtbmittednis correct an4there are no other structures located on this property except
er or Agent
A LAND USE OR RUCTURE PERM
THIS IS HOT -ERMIT.
Date
MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be The zone is
Sewage Permit Number Issued Building Perm L' Receip •2LZssued
Remarks
Form 523 Bldg. Code •