1972, 09-27 Permit App: J4581 AdditionCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT a�
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 A„�o� g 9.2 / 40
Name of Owner 0 /VW/e. Lf. 0/f/-/e3e d Address 1J6..,c/ T Al 133:/eAl” Phone Lr.J>4 G 5i � 6
Architect Phone Engineer Phone
Contractor
Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) e4,4 P7711 fj % 7-
g4"1;e7 ht./lj� / S £ a ws 7`11- /1/, /c' �C P e A N4 / �f`�✓ 1t/i 1c/ d y A , .f A/A/
/� ) \3 TA / //1 -s 9 HOS %'LD ea A �l/K � s 5-! i,C° Air
DESCRIPTION OF WORK: New
Size of Lot //-4../X /4t1 "
Const C"/-. tote-- Dimensions
Addition L- Remodel Moving Bldg. Zone / Fire Zone
Sewage System / L Stories c^��� g�
Total Sq. Ft 3 ��y ' Valuation 39LZ-L
(Frame, concrete, brick, etc.)
Rooms Baths \-- Basement
(Full, part, none)
Heat. System FA i Type of Roofing
G' X Js, /0,,
✓oN e- Foundation Const & Des %-' 7 -
Use of Bldg. >L
, arage or Carport AttacHed
Draw sketch with dimensions showing: (1)
pro.osed buildings; (4) distance to property
tei end water supply lines.
NORTH
Chimney Fireplace
(Kind) (Number)
Ext. Finish
/flack Lr �'r ~ n�,~V all Finish . �� / o c
D.�BiC46,4v�.C�/fs6�s�Fs 'a�iay �,f' 4r
o. of Units Bedrooms -
Private Detltched
PLOT PLAN / O S ("7 6 3
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
I her ertify information bmit d is correct and there are
as show. �' `�
�....f i� .-- . er—.Q 7 7
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received L�
Plans Checked //
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
DO NOT WRITE BELOW THIS LINE
Your street address will be 3 a/
Sewage Permit Number Issued
Remarks
Building Perini
/7/-3-7
e zone it 4-C,CA-(111.4U.t._
Receipt Q4./G Issued
Form 523 Bldg. Code