1976, 11-24 Permit App: L6325 AdditionCasty of Spokane. Waslgfon
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.
/ /- U APPLICANT FILL IN BELOW THIS LINE [/
Name of Owner b/c S e',� �� //err Address // - 5 Lonq/ Cre, ti4c`"Py Phone SS �/
Architect Address Phone
Engineer Address Phone
Contractor 5<" /7 Address Phone
Legal Description of Prop
s .
y (Give complete descriptionifrom eed, tax rem t, et
l ff
DESCRIPTION OF WORK: New t� Addition
Size of Lot /3 O / )C 9oV/
Stories Dimensions —O / a
Remodel
Rooms _L_ Baths 40 Basementi� Foundation Const Cr)
(Full, part, none)
Type of Roofing
Heat. System
Use of Bldg. 0
Moving Bldg. Zone / Fire Zone
Sewage System N,/� Const. r>' a M -11
(Fr., Cohc., Br , etc.)
Total Sq. Ft "Y O Valuation '5, 0 O d
n Cly, I' _Q._ Chimney Fireplace C,
(Kind) nn (Number ai
Ex Finish Int. Wall Finish ,Z.,, ` . f/
1.1-."114"-C32-n.c j U -r9-74., No. of Units_ Bedr
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 acd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
m
NORTH
RESIDENTIAL — COMMERCIAL
I hereby certify ionsmitted iscorrect
as shown.
and there are no other
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
ures loc ted
struct
;1,‘
on this property except
Owner 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
Tour street address will be /
Sewage Permit Numbers d
Remarks (( /i -
12/0o C / f r 1
Building Permit
The zone is -
%�Receipt ' S Issued
Form 523 Blda. Code