1971, 07-06 Permit App: I4936 Addition{
41, •
County of Spokane. Washington
BUILDING CODES DEPARTMENT,COURTHOUSE, SPOKANE, WASHINGTON 99201
�f/j
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE..
PERMIT rEQatliuse or stupscyucgslnto erect
building
re of the
kind
or lter any bulding orstrucrealreadyereted, ortohanealand use. Constructionmust conform with
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 47235.
leastk from
25'FisMrePRPERTY LNES. In mostquired, al 5' side yard,z15' side ardrfromtm acflankingnstreet,sandbac25' rearhe yardont areproperty line, of at
ones and required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department egress. 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.
which lareVenforce enforceable Buildersld
kCountysOfficialscovenants
not bringdedications
toand
enforcepents covenantsing with the land
or dedications.
APPLICANT FILL IN BELOW THIS LINE G _ c2
• ``. - i i� - �.
Name of Owner �'� -.. - • ddress / Phonephone
Architect �% - Phone Engineer
Address Phoney
Contracto
LegalDescriptionion of Pr
e
DESCRIPTION OF_'1?V, O ` iNew
Size of Lot
Const. Dimensions
(Frame, concrete, brick, etc.)
Remodel
Moving Bldg. Zone
Sewage System /
Total Sq. Ft. /9 4, Valuation
Rooms Baths
Basement
(Full, part, none)
Foundation
Const .Q� 1 `f �P Chimney
(Kind)
Fireplace
(Number)
Heat. System Type of Roofing Ext. Finish Int. Wall Finish
No. of Units Bedrooms
Private Detatched
Use of Bldg.
tiara •- or Carport
LO PLAN
craw sketch with dimension showing) roperty nes; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to prop rty fines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
10
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereb certify information sub,. ted is correct and there are no other structures located on this property except
as shown.
7
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
Your street address will be
Sewage Permit Number
Remarks
Issued
Building Permit
e zone is
7y?,Receipt / Issued