1978, 09-05 Permit App: N0847 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
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, 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 Il -f! L /f}A,/4)44 Address/ / L ,1Ly4i~A Phone '9
Architect ,c Address Phone
Engineer S / a 71 p46. Address Phone
Contractgr Sc.,-.-" - Address Phone
Legal Description of Property (Give com lets description from deed, tax receipt, etc.) Parcel Number/ S7It' ()j
d p4-1 01- 3locK ) S 3 if -14%c) .Ai -1J. Line �
6 F ' ,)efs;cLc. 2' F. �j w cCon
�� p4 -1s}- e 7Gre�.-(
• G • 4111, it,..., N. Yo mrri I/SJi s- cit!- C .1? c ice. iv. 7(, 94, 1,-.w....-, S-• 1 „.4 4 6,,, :,t,
ROADWAY R/�W WIDTH
DESCRIPTION OF WORK: New Addion Remodel Moving Bldg. Zone % Fire Zon
Size of Lot / d �i %� `%��, Sewage System /
Const.
ff (Fr., Con ., etc.)
Stories ' Dimensions ,O S Y. l4 ' /9.../..,..,(,/. n Total Sq. Ft LL� Valuatio dG d
Rooms Baths Basement Foundation Const ( - -�,4- Chimney Fireplace Nu -
Fu 1, part, none) (Kind) (Number
Type of Roofing Ext. Finish f — /1 ( Int. Wall Finish L ..--t-&;61'-e--
l-f/d'2
--e: No. of Units—Bedrooms
l
PLOT PLA
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.
Heat. System
Use of Bldg.
m
NORTH
SOU TH
hey a' certify o tion/<ubmitted is correct and there are no
A LAND
THIS IS
State License No.
Ind. Ins. Acct. No.
yz4<6,1,3p
COMMERCIAL
REQUIRED
Plumbing Permit
• Heating Permit
N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
7;
other structures located on this. property except
ner or Ag =.t Date
OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
OT A PERMIT.
ITE BELOW THIS LINE 4"
/ D ,�
Your street address will be ) / 5 Z s . �� The zone is
a
Sewage Pe t Number Issued Building Perm Receipt _ 4 sued
Remarks �1.ty'lAr. 6Qn .I�.9t• �:w �,.�.�_ .� r 40* � d
mDf
/_ 1T,
Form 523 Blda. Code
r
OK