1975, 06-06 Permit App: L0466 Pigeon Loft•
County of Spokane, Washington
DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
BUILDING CODES � 5� 09(APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
knITrEQtlistructure
ascyucgeslnto erect
nmor rure of the
idor alter any bulding orstructurelreadyereted, ortohanaland use. Constructionust coormwith
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
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must and egress.
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 LI
461044 )16r
Name of Owner j} g ,w Address Phone q - - 4;',J1 ( 7
�—
Address Phone
Architect Phone
Address
Engineer ` Phone
Contractor Address
egal Description of Property (Give complete description from deed, tax re eipt, etc
31 - 3 4 ' Lc.) r s 3f--
/ co 54-
f-
/coS54--s-ca�
DESCRIPTION OF, (WORK: New Addition
.cam
Size of Lot
ii 3 7 Q S'(
Remodel
Moving
Bldg. Zone / Fire Zonae
Sewage System -.41"7"C C_onst.
(r., C
Valuation
Stories I L____:___ / '- ? ) 6 ( 6 �II 1� fon /� Total Sq. Ft.
Foundation Const.`��3 0•141-
Rooms Baths
Heat. Syste
Use of Bldg
Basement
(Full, part, none)
Type of Roofin
--CP"
Ext. Finish
PLOT PLAN
Draw sketch with dimensions shovel g: (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.
Chimney (Kind) Fireplac(Number
Int. Wall Finish
No. of Units _ Bedrooms
NORTH RESIDENTIAL - COMMERCIAL
l• -r9
I hereby cpa'ify inf,
as shown.
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
rm
ati n suboyltted is c•rrect and there are no other structures located on this property except
i>
J�✓-+! �'
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
COMMENCES.
Your street address will be
Sewage Permit Number Issued Building Permit
Remarks �.cy-•�-�
t
The zone is
Rec ipt
/4 _.