1975, 12-05 Permit App: L2255 AdditionCarty of Spokane. Was&ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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
Name of Owner C' i/i
I/ &A Address / �••i� Phone (A/{i'-4-
/493
Architect Address Phone -
Engineer d Address Phone'
Contractor 951 ./,tivVtt- Address Phone
Legal Description of Property (Give complete description from deed, tax receipt etc
ieN%.ct u_2 F 2-a 6'
Nw4 4.3kK5k (9-441c4-1TAA,utfr
DESCRIPTION OF WORK: New Addition )C Remodel Moving Bldg. Zone / Firerl1Zone 3
Sewage System FV.29Z r FFonstr., `rion
Conc., Br., etc d
Stories / Dimensions / 6 A' ,:<,. / Total Sq Ft �/a ��wtvaluation 000
Rooms - Baths / Basement ��((//d4/,a Foundation Const Q 4 -'K -t Z Chimney ( Fireplace
(Full, part, nonce (Kind) /9-7/1
�� (N�ury �he�rp
Heat. System Type
- of RAofrng Ext �Fjlm sh 1/444-6-1441- Int Wall Finish N .-i�Y-4.f.Q
Use of Bldg. �.t.MI��IA'..e04_.:1— 1�a / )wNo of Units Bedrooms
PLOT PIrN•
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.
Size of Lot 'TKX a 2/
NORTH RESIDENTIAL JCOMMERCIAL
I here
as shown.
A LAN
THIS IS
SOUTH
y information submitted isrr- and
/�i
Owner or Agent
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
in Heating Permit
N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
t re are no other structures located on this property except
j2 -S -7S
Date
OR STRUCTURE PERMIT MUST BE ON THF' ' REMISES BEFORE CONSTRUCTION COMMENCES.
OTA PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be /1 /4 7[, Car/at
Sewage Permit Number
Remarks K.d'-'-/-
The zone 1
Building Permit Ln7&5-5- Receipt /( 90
Issued
Form 523 Bide. Code