1975, 11-12 Permit App: L2054 AdditionCntY Spokane, of S okane, Wasi9 fon
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 t2. 9gai
Name of Owner «4-14 iL p 1Y Address 91 �� ��"' Phone
Architect Address
Address
Address
Engineer
Contractor
_4
Lega Description of PFoperty ( ive complete des9riptti
Phone
Phone
aa
Phone 23 g�14P
from deed, tax receipt, etc
/3)- K /
444141-1-e.,1..... a /' i1
DESCRIPTION OF WORK: New Addition X Remodel
Size of Lot 9 7X /.Z!J
i
Stories / Dimensions g X/O
Rooms _L Baths
Heat. System
Use of Bldg.
Basemnoent
Full, part, ne)
Ty o
Foundation Const
Moving Fill/
Sewage System
,Zone. Zone_ / Fire one3
Fr., Conc., Br., etc,()
Sq. Ft 86 Valuation /5" J_
Chimney (Kind) Fireplace �N mb
Int. Wall Finish , /
No. of Units _ Bedrooms
Total
Roofing e 4-I4 _.'. Ext. Finish Q Q_� LfefL--
F,L
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
RESIDENTIAL — COMMERCIAL
Q
rEX/Sl/AN¢
/G ROsr uCR
Z' INTO
SOUTH
Iereby ce ifytinformation submitted is
as shown. 7(*)
Own or Agent
A LAND USE OR STR CTURE PERMI
THIS IS NOT A PERMIT.
Your
correct and there
State License No.
-23-D/ — g35
Ind. Ins. Acct. No.
l PrlT - O N -
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
!/—/A— 74
Date
MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
street address will be The zone is ar-1,e4./
Sewage Permit Number Building Permit O 1c',1 Receipt /0114 Issued
Remarks
Form 523 Bld
. Code