1975, 05-16 Permit App: L0126 Addition�2
PROVED As NATE t OY11t �- O TEF
n@,Washington ounty Bid O SDEPART EN . 81 FERSON, SPOKANE, WASHINGTON 99201
e
ON FOR LAND USE OR STRUCTURE PERMIT �"---�
E N T S PERMIT FE .�S
_____________
IEQUIR®.'A land use or structure permit is required by County Resolution to erect a building or structure of any
ind 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.
NATER. 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 (
Architect
Engineer
Contractc
Legal D_w
of
Address //eL�/ Phone _,� ��—y7�✓�
Address Phone
Address Phone
Address i_� %v 1 �3 Phone
description fro�m-J deed, tax receipt, etc.)
i
DESC PTION OF WORK: New '� Addition Remodel Moving Bldg. Zone � Fire Zong�
Size of Lot /lJ �.>� Sewage System onst.
�- �Fr., �o , r., tc.)
Stories Dimensions /�' �( V —Total Sq. Ft. r� Valu(�tion
Rooms Baths— Basemeni Foundation Const..."2� 4 _6 5.6:o -Chimney /!- Fireplace
(Full, part, none (Kind) (Number
Heat. System Type of Roofjng � Ext. Fini Int. Wall Finish'14 11-2
Use of Bldg. 09 No. of Units BedroomsCe
/
PLOT A ��_�y�.�h• G� �a�
sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) locati-6n of existing and
sed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
e and water supply lines. `
NORTH �RESIDENTIALCOMMERCIAL St a License No.
Ins. Acct. No.
I CJS
0
RI
I Plumbing Perm
�-�
in Heating Permit
Sewage Permit
Plans Received
SOUTH
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
herebyce ify nfor o ubmitted is correct and there are no other structures locatedTon his property except
n. /�
Owner or Agent Date
LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
HIS IS NOT A PERMIT.
nO NOT WRITE BELOW T141S LINE
Your street address will be
Sewage Permit Number
Remarks
Fefrm t,9A Rlelnrnrin
Receipt %6.<V ` Issued