1978, 06-06 Permit App: M6648 Addition411 411
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT o"
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required byCounty 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 Noss. 45-133 and 47235.
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' w Address /0 Ci .Z �Qt.-ac� Phone
Architect Address Phone
Engineer 4 Address 7 �> Phone
Contractor � - - .-�� __ Address ` °` Y rr LO Phone XF y _ a Y 7 f'
Legal Descri tion ofi ropert (Gve complete description from deed, tax rec ipt. tc.) Pa el umber 0 CsY 5/ — 0 3.2 3
DESCRIPTION OF WORKt' ew AddiUpn V Remodel M
Size of Lot rI to r i� / .rpm
�k.3y'
Stories / Dimensions � ,,,rrr ��!
Rooms .L_ Baths Basement <V/�
(Full, part. none
Heat. System/El/5r /'t'� Type �ocf—Roofing
Use of Bldg. -(- .?R:.. til
Moving
Foundation Const
S Ext Finish
Bldg. Zone /Fire Z e
Total Sq Ft --5-7Sewage System /Ski S r/"' Const.
(Fr.. Con r_i. etc.) ei
Valuation `4/ .00
CONI F¢ 2 7- ' Chimney /°AtFireplace NG .4/ -12 ----
(Kind) i (Number
'Iii /4. Int Wall Finish, fn/ i
Tec .bd'4-r+2,)�n�,/'�'"�`'��ppAr
/�`" Y J'- No of Units Bedrooms �/6n"��
r1.yD'++u e .
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
Ci/ NORTH
OT PLA
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
“1/1/Ftet_i,
SOUTH
I hereby : rtify inf1 nation submitted
as shown.
m
D
N
N
s correct and there are no other
2Z3 -
State License No.
DU -24-46-8 3,403
Ind. Ins. Acct. No.
(ESIDENTIAL)COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
6///)fir'as.a
s uctures located on this property except
—7
Owner or Agent
A LAND USE OR STRUCTURE PE
THIS 1S NOT A PERMIT.
MUST BE ON THE PREMISES BEFORE
DO NOT WRITE BELOW THIS UNE
Date
CONSTRUCTION COMMENCES.
Tour street address will be / 60 02 / /rill( G.J
Sewage Permit Number Issued • Building Permit' / Receipt o2 Y.f / Issued
Remarks
bThe zone is
Form 523 Bldg. Code