1976, 03-16 Permit App: M0046 Addition1
Cnty of SpokaneW- Wasngton
BUILDING CODES DEPARTMENT, N.811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMI
GENERAL REQUIREMENTS PERMIT FEE.
6;
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 Eingineer'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`cfvil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE n 9 y. (C,
l� r Address -� '3 �% O (v"l C i✓d n ol- / C/ Phone "214/-05-15".-,
Name of Owner
Architect Address Phone
Engineer Address Phone
Contractor-la.r.-n AddressPhone
Legal Description of Property_(Give complete descripd, tax receipt etc 1 //7�(!"nncn 16'4'.3 -/ `7 G/ '>'
.41'
'J /3�eh /t / V�v..e2 - P.c•L�jtion frordeei %
DESCRIPTION OF WORK: New Addition
Size of Lot ?'S' Jl I/0/
Remodel Moving Bldg. Zone —/—__ Fire Zone 3
/Sewage System 4 A- Const. fl—di `�s
Stories_ Dimensions, 0-3-L( 3x7- ,�j' /SA / 6 d (-3S-770
A / Total Sq Ft Valuation
Rooms Baths Basement 'V �- Foundation Const �' >n
Fu I, part, novel "�'A� Chimney Fireplace(
/ Kind)
N tuber
Heat. System Type of R,.Sing . �i Ext Finish mi.
/0..-.."._ _L.4 Int Wall Finish /✓/./d-
,t/JAN111b1 / //��
Use of Bldg. �I r / LQe,- '�c ¢- i�—v_'c O.r No of Units _Bedrooms
/
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.
NIORTH RESIDENTIAL — COMMERCIAL
SOUTH
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
I hereb ce ti tion submitted is correct and there are no other structures located on this property except
as shown.v./
Owne or Ag nt Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS N07 A PERMIT.
DO NOT WRITE BELOW THIS LINE
�J (/
Your street address will be ,�. t SOO 'e 6%><�t�Jt� The zone is l
Sewage Permit Number
Issued Building Permit/ �%/1n � Receipt /1r777 Issued
Remarks
Q� ax S /
Form 323 Bldg. Code