1977, 04-12 Permit App: M0524 AdditionTAPPROVED AS NOTED
Spokane flinty:Idg. Code Dept.
Date , 7
'� 7
T
b
Arty of Spokane, WasOgton
ODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
TION FOR LAND USE OR STRUCTURE PERMIT
efrel
GENERA EQUIREMENTS PERMIT FEE /
PERMIT REQUIRED. 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, 3
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 Owner F' ���E� 6_i✓' Address 4� %(���J %f//ii�ioA/ Phone 92�'g570
Architect ,q o.Ppt,„tJt; Address Phone
Engineer /n////,1'�,�y`%/ Address Phone
Contractor r W Gl Address �/ Phone
al Description of Prope y (Give cos ete
descriptions m deed, tax receipt etc I (-A S I Li —G "37 y
v /
DESCRIPTION OF WORK: New
Addition 1/1/ Remodel
Size of Lot ' "1-61 X 310 Ct�z
Moving Bldg. Zone �— Fire Zone
Sewage System
Stories i D. �t. 0 4
Basement o
Fu I, part, none
ones _ imensIons /
Rooms Baths (l /� Foundation Const
Type of Roofing 7-.4-7),,A09
Heat. System
Use of Bldg.
a.a
4,1,7_72P/ onst.
FFr., C
2C_
r+z� o cam.. Br., etc.) p v
Total Sq. Ft!'- Xaluation,7g
(:6�of -a-tar-1Chimney •Fireplacce^r
(Kind) (Number
Ext Finish % //,' Int Wall Finish 74,-",/,' -
No of Units _Bedrooms �/v1r%
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.
IDEf1T1ALJ COMMERCIAL
NORTH
SOUTH
I hereby certify/1%formatiorysltbmi
as shown.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON IHE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT. •
*DO NOT WRITE BELOW THIS LINE
Your street address will be e /69 / /(
m
ti
-I
State License No.
d-f�CL�t,L�f/
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there- are no other structures located on this property except
/7?
Date
Sewar Per t Number
Remarks � .
The zone is
Building Permit�7) 6 S tin Receipt Issued
Form 523 Bldg. Code