1972, 07-03 Permit App: J3637 Addition•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT S o o
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of au
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_requtred, 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.
'ajk,
APPLICANT FILL iH BELOW THIS LINE
Name of Owner
Architect 0
Contractor �9/a4144-e-,
Legal Description of Property
to TJ
5 .
(Givi
ddress /�,�,J
Phone F]tgineer Ka2f(xiOKA
one WA -4 -0 -.5 -48 -
Phone
Address y Phone ,/
coyplete description from deeq, tax receipt, eta )4a;L -i/3y
4 .t
•
DESCRIPTION OF WORK: New
Size of �Lot ZS-' /.D
Consta--/-44140,
--/-44YNA Dimensions
(Frame, concrete, brick, etc.)
Rooms — Baths -- Basem
(Full, p
Heat. System _ Ty
Use of Bldg.
Addition
Remodel _L Moving Bldg. Zone __� . _. Fire Zone 3
Sewage System Stories / a
Total Sq. Ft. Valuation 7c.)Or-
ent '- Foundation Const Chimney Fireplace
art, none) (Kind) n 3/4.4gumber)
Le
p of Roofing Ext Finish �' fl. Int. Wall Finish
No. of Units L
^� --i r " -Bedrooms
Garage or Carport Attiched
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 and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
Private Det atched
NORTH
13/4+6%0-v344- a4v+44- 2 ,t#, -A-4
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit \
m Heating Permit
D Sewage Permit
M
H
Plans R.ecelved
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify infor{t iij1QJ submitted 'is cor/re�ct�a/n/d///there are no other structures located on this property except
as shorn./✓ -t. % / -3- 7-R,
•
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS HOT A PERMIT.
DO NOT WRITE/�BELOW THI5 LINE
Your street address .111 be .16 O5 Q ,(J�Q-y .. z_L._The zone is - . ��'
Sewage Permit Number Issued Building Permit (A, 3,4 37 Receipt Issued
Remarks
Form 523 Bldg. Code