1975, 06-10 Permit App: L0386 AdditionCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
_3X �5-
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.
NATER. 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
w4ich are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
I ARPLICANT FILL IN BELOW_ THIS LINE,---,) b
Palame of Owner Address �7 Q Phone
Architect Address Phone
Engineer it Address Phone
Contractor Address Phone
Lega) Description of Property (Give,cgmplete description from deed, tax receipt, etc.)
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fire Zo e
Size of Lot X �� Sewage System �zLe�_ Const.
y r., etc.)
Stories __Dimensions a G L Total Sq. Ft. —Valuation ZL
7- 1
Rooms— Baths Basement Foundation Const. himney Fireplace
(�FCulJ, part, none- �� (Kind) (Number
Heat. System4, ( Type of Roofing YG Ext. Finish Int. Wall Finish J"
i
Use of Bldg. J J No. of Units _ Bedrooms
PL T 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 State License No.
0
Ind. Ins. Acct. No.
i
X60
REQUIRED
b
Plumbing Permit
m Heating Permit
M
to H Sewage Permit
Plans Received
r Plans Checked
Plans Returned
r Plans Picked Up
i? o Plans Mailed
SOUTH
I hereby certify information submitted is correct and (/there are no other structures located on this property except
as shown.
Owner or Agent Date ��TJ
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be _-ttJ
Sewage Permit Number Issued
Remarks
Form 523 Bldg. Code
DO NOT WRITE BELOW THIS LINE
3 The zone is
Build in erm Receipt Issued
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C O U
N T Y
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S P O K A N E
S P O K A
N E,
W A
S H I N G T O N
gpoKANE COUNTY BOARD OF AWUSTME14T - AVE -6-75..,.
Date: June 9, 1975
CERTIFICATE OF APPROVAL FOR ADMINISTRATIVE VARIANCE
.1 . Name : Ron M. Van Damme
2. Mailing Address: S. 8207 Riverway, , Spokane, WA
3. Legal Description of Property: Section 6, Township 25 N., Range 44. E.W.M.,
That part of the West 80 feet of the East 244.5 feet of Gov't Lot 12
County of Spokane, State of Washington lying North of the North line
of South Riverway extended.
4. Administrative Variance Requested: 4.05.110a (2) To allow a side yard setback
of four (4) feet for a garage and family room, whereas the Zoning Ordinance
requires a five (5) foot side yard setback. (Agricultural Suburban)
5. Approved by Zoning Adjustor on
GJune 9, 1975
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57 �43 _ �76 ;�
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