1976, 09-09 Permit App: L5350 Addition 41Ir IV
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT �6 j
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 mast 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 B�W THI LINE/ 9yao�
Name of Owne ..�. i- ,A7
_ Address .�l� -,-� -- 'hone
Architect Address / 7/ Phone
Engineer Address Qo2� Phone
Contractor 'yL� Address 7p .4<4..?f • ' . Y_, Phone /f' 9P,'1a3
Legal scription oi'Property (Give complete de tion from d , tax receipt, etc.) / /_ _
✓ -. -A'
DESCRIPTION OF WORK: New 4"....--- Addition Remodel Moving Bldg. Zone —/ Fire ne .. '
Size of Lot ,-.57-S-' X, A- Sewage System 4/fit oast
�Fr., nc. r., etc.)
p ii ov
Stories _Dimensions /6 y id' ' Total Sq. Ft. cValuation
Rooms BathsAl
Basement p,e Eoundation Const.. 7)4C-4 � ChimneyFir:•lace
ull, part, non ) e ( ( umbe -
Heat. System -��
Type of Roofing ‘664..d-- Ext. Fini h o' ,-I!..., 1 Int. Wall Finish - Ar. _%/
Use of Bldg. iffe„er-L �4 ' /1el--(9-07-z./ 9� / No. of Units_Bed�oms
PLOT PLAN
Draw sketch with dimensions showing: (1) proper . . - street or road locati•. ; (3) location of exist _ and
proposed buildings; (4) distance to property lines and s s; .. dimensions of bui pings; (6) location of sewage s•
tem and water supply lines.
NORTH RESIDENTIAL! COMMERCIAL State License No.
—0 A - A ' Nr-,Ina. Ins. Acct. No.
ne /
t.
..
/ 8 I „r„,, r
,
AT' 'EQUIRED
Plumbing Permit
m Heating Permit j �R�
�CGt
N PO N Sewage Permit
Plans Received
r Plans Checked
3 , Plans Returned
\ 1, 'Co Plans Picked Up
a y Plans Mailed
j,... -- ,i , . .../ /
// , ; - / //
I hereby cer ' nfor ion submitted is correct and there are no other structures located on this property except
as shown. iv
/ . 2// / -ALI /LI 7
Owner or Agent Date
A LAND US- OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT W• TE BELOW THIS LINE
I r
Your street address will be //y// � -A -y /4.0_.e3S( The zone is°i1�t
..._J
Sewage Permit Number Issued / B / iig Perm ,> Receipts k Issued
Remarks
r