1977, 02-23 Permit App: M0060 AdditionCatty t of Spokane, Washlgfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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,
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.
of at
APPLICANT FILL IN BELOW THIS LINE sth,
Name of Owner P�{R P �(/ _('.b ./1 K+/r/L4V1 .0 } Address
Architect Address
Engineer „ Address
Contractor _A4/1 -La Address
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Pe '
490,3 7
Phone q.zi.1- ic'e
Phone
Phone
Phone
f�A7 -' 43 LK - I.¢x [c
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot 73"---A'
3'
f
Stories _LDimensions q ✓/
Rooms _L Baths
IF I Basement i� Foundation
(Ful I, part, none
Heat. System
Ue.of Bldg.
Type of Rooting -
v
Moving
Sewage System
_Total Sq
Const
Ext. Finis7
420-d
Bldg. Zone _L— Fire one , 'S
N onst. tZ
(Fr., Conc., Br., etc 0
. Ft - 9C? Valuation , 4:9
Chimney NA Fireplace NA
(Kind) (Numbern
Int. Wall Finish �y 1.7 LYIx
No. of Units _ Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existingtand
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines. -.
m
cn
NORTH
ESIDENT L - COMMERCIAL
Attae-h...hi .4(26Z- Jia -g._
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
in Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby car ify information submittedis correct and there are no other structures located on this property except
as shown. �C)
Owner or Agent
° --7 -3-- 7 7
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued Building Permit
Remarks
J/(
The zone is ..22 1.`
B 6 0 Receipt yl/52 Issued
Form 523 Bldg. Code
the Coro, :my has not surveyed the premises sketched
'fhe etch below is furnishco without char.,e solely for the purposo
of assisting in locating said piamises and the Company assumes no
liability for inaccuracies therein.' It does not purport to show ALL
highways, roads and easements adjoining or affecting said premises.
Y
138
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