1976, 04-18 Permit App: K7258 AdditionCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT rI / de
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
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 .T4 mt$ Pi Address i t o 2 1 1$; s lou
Architect 3CMQ.s c.\,cr
Engineer
Contractor 'Ten\ as
P ►ft:tckar
Le Description of Property
Address E 1102 in Xs/ erer
Address
Address F i int
ve complete description fr deed tax re
eipletc 1
Phone G24'$`1
Phone 42487/k
Phone
mics I. Phone
DESCRIPTION OF WORK: New Addition I, Remodel
Size of Lot I Iv`/ r X X7.23n t
Stories i Dimensions 2-"i X 24
Rooms Baths Basement Foundation Const
(Full, part, none)
Heat. System ELEc: Type of Roofing LumbJ
Use of Bldg. Qe.r,71" Pnnryt
Moving Bldg. Zone / Fire Zone 3
Sewage System
Cc,t,a. Mat
Ext Finish
onst.
Fr., Conc.y Br., etc.)
Total Sq. Ft. S64 Valuation 9 S606
ct_tno4
Chimney Fireplace
(Kind) (Number
Int Wall Finish WOOrI
No of Units _ Bedrooms
PLOT PLAN •
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
m and water supply lines.
NORTH
1rr 3t'__41
I
'lx)
j
y
:4' x z41._.
, J
/ r;2
.
4--o.
70,14
1r
°$
SOUTH
I hereby certify information submitted is
a shown � gyp_____,
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Perniit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
i
correct and there are no other structures located on this property except
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be I// o 01./ <v/ YfJ
Sewage Permit Number Issued Building Permit
Date
CONSTRUCTION COMMENCES.
Remarks
e zone is
Receipt t` 3 issued ..r
Form 523 Bldg. Code