1976, 02-13 Permit App: L2632 AdditionCAntY P of Spokane, Wash ton q
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON
99201
APPLICATION FOR LAND USE OR STRUCTURE PERMI
GENERAL REQUIREMENTS PERMIT FEF ./-.$ .$
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of auy
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 k—P% rl /70/Q Address _L' IL (C%1, /q2/lo Phone
Architect Address Phone
Engineer Address Phone
Contractor Address
Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
DESCRIPTION OF WORK: New Addition ---,! � Remodel Moving Bldg. Z ne Fire Zo
pe
Size of Lot �L� //.p5- o (� -300 Sewage System _ onst.
Stories Dimension �7 / 'Td �Fr., Con Br., etc.) a 0
Total Sq. Ft.�Knd)
aluations DOG_
Rooms Baths Basement Foundation Const.. ChimneFireplace Numb r
(,Full, part, none
Heat. System Y Type of --R//o�ofing Ext. Finish % � �I Int. Wall Finish
Use of Bldg. BTU a4t" No. of Units _Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (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.
NORTH RESIDENTIAL — MMERCIAL State License No.
I Ind. Ins. Acct. No.
I
7
SOUTH It -,
0
Plumbing Pe:
m Heating Pern
I H Sewage Perry
1
Plans Receiv<
Plans Checke
Plans Return
a
Plans Picked
Plans Mailed
REQUIRED
I her y cert" nformation mitted is correct and there are no other structures loca ed on this property except
as shown
Owner or Agent Da e
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 K �'i/
The zone i
Sewage Per it Number Issued Building Permit Zr-
_Receipt Issued
Remarks - _.l , . _ _
F.- 593 IVA- r--j-