1974, 10-16 Permit App: K6077 BreezewayCounty of Spokane, Washington
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
Y Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
'i 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.
ti APPLICANT FILL IN BELOW THIS LINE
Name of Owner
Phone 902/ta7/6/
Architect by
( Address Phone
Engineer e,7i� !l OlJ-r(f t.4_J C� o Address Phone
di
Contractor ice$/�rG/ i.r .F .t Address ,Lr96 9
Legal 9cription of ropers (Give comp ete descri from deed tax receipt etc 1
np�Y. ' /.T.
- -v
DESCRIPTION OF WORK: New ddition
119-
r
Moving '019 _Zone
Size of Lot f c ' X /o? 0 / Sewage
Rem del
^��r) Syste
Stories Dimensions ? jc c w Fv - Total Sq. Ft
Rooms Baths Basement — Foundation Const. tir2C., .0 "7.e Chimn
Full, part. none)
Type of Roofin
Heat. Syst
Use of Bldg.
--Ext Finish
/ PLOT- PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or
reposed buildings; (4) distance to property lines and streets; (5) dimens
em and water supply lines.
NORTH
/rj
Firee Zon
Cons
et-rm.
1 r., etc.)
Valuation
i�
(Kind) Fireplace (Number
Int Wall Finish
of Ulf s 2 Bedrooms
road locations; $ location of existing and
ons of buildings; (6) location of sewage sys-
N
I hereb
a6 shown.
0
SOUT
erpify informati( D submitted
Agent
Owner or
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
/6 /4-7
s correct and there are no other structures located on this property except
/0—/(—t77
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
Your street address
e; Sewage Permit Number
�D e
Remarks
4.
will be Ia. % *4f..- //
at A ° ding Pe mit
r`�> _ L
-, _ en ' / -
7
The zone Is tom e Lam+ ,
Receipt as 7/ Issued
Form 523 Bldg. Code