1977, 06-14 Permit App: M1900 Addition• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PEWIT 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
Name of Owner ��► L.i.. �..�a Address
/3.3o1 /?,c
?%�/C. Phone
r -370
Architect Address Phone
Engineer Address Phone
Address Phone
Contractor
Legal Description of Property (Give c plate decriptii from d ed, tax receipt Ltc.) Parc I Nu ober
`it} , l.3.�
Coo 2---
DESCRIPTION OF WORK: New Addition
Size of Lot Qo/
/ /
Stories / Dimensions /4K X/��
Rooms Z Baths /1/00' -4 --Basement /VOA✓ Fogndation Const
(Full, part,�-- none C e iq €.
/-- Type of Roofing 54, /,1-1. AS Ext. Fin
/9- of e/, T/ow To 47 X / S %i7 (far,
PLOTIPLAN
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.
Remodel
Moving Bldg. Zone / Fire Zone 3 -
Sewage System /:-.--X(5777 Const. / 4 _
Fr., Conc., Br�eytt�c.} a=
Total Sq. Ft. Valuation ,, * v
O Are /Q �� Chimney 4S
'e/Fireplace 1
(Kind) (Number//
ish 7----(// Int. Wall Finish 9 'y ("/GC (
de °r CQ- No. of Units _Bedrooms
Heat. System
Use of Bldg.
NORTH 73
c /SOUTH
I hereby certify information submitted is correct
as shown.\
and there
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
iw Heating Permit
N
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures 1 ated on this property except
// �f77
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT ST BE ON THE PREMISES BEFORE CONSTRUCTION
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be l d,Ya C
4
Sewage Permit Number Issued Building Permit
Remarks
COMMENCES.
The ois�Il e v -(41--(41-l
Receiptzone 7 /
p ssued
Form 523 Bldg. Code