1976, 10-28 Permit App: L6037 Addition, Renewal of K7490 County of Spokane, WashvWgfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 /6 D®
APPLICATION FOR LAND USE OR STRUCTURE PERMIT g'OGENERAL 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 / �le- ,efr- � is 14 DD Address / 5 0 'V S 4 Hit/wet', iiy Phone ky• 7/J + GVS�
/�-
Architect Address Phone
Engineer Address Phone
Contractor $7,t," ..."'— Address Phone -
Legal Description of roperty (Give complete desj54
ion from de d, tax r ceipt, etc.) I. ,
S S't�U 7. 3 s1 5 w f y s w/Y ..�-� aa" 1--
DESCRIPTION OF WORK: New Remodel Moving Bid . Zone Fire Zo
Size of Lot 7 7 X I t ) Sewage System Const.
, Br., etc.)
Stories Dimen )'
_if /� Total Sq. Ft.�� VG Valuation lay--�-•
Rooms / Baths Basement Foundation Const. ` Chimney �"&Fireplace ktOm-�-
F fI, part, none) 1 / (Kind) ( u er
Heat. System 131fRoo..fiz Ext. Finish /4./ Int. Wall Finish
Use of BldgNo. of Units,.Bedrooms
PLOT 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 RESIDENTIAL -COMMERCIAL State License No.
Ind. Ins. Acct. No.
yc,, ,,,,,i-in>,,
REQUIRED
Plumbing Permit
e)01nr Heating Permit
on
to /47,176
HSewage Permit
-1 Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
/SOUTH
I hereby certify informat ' .,, ted is ,s'' 7
ect ere are no other structures locate on thi property except
as shown. ?c,.. 7. r 0 28` 7.‘Owneror Agent Date
//
A LAND USE OR STRUCTURE PERMIT MUST BE ODYTHE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be (5-0The zone is
Sewage Permit Number Issued Building PermReceipt3614/ ssued
Remarks 6637
Form 523 Bldg. Code